Presencia de meconio, gases de cordón umbilical y Apgar en nacimientos por parto vaginal de embarazos de término
Contenido principal del artículo
Resumen
El meconio es agua 78 a 80%. Se encuentra de 7 a 22% de todos los nacidos vivos. Los neonatos con meconio es- peso tienen siete veces más posibilidades de presentar convulsio- nes. El análisis de gases de sangre del cordón umbilical puede excluir el diagnóstico de asfixia al nacimiento en 80% de los ca- sos. La correlación del puntaje Apgar con daño neurológico, se incrementa cuando permanece < 3 después de cinco minutos.
Detalles del artículo
Sección
Cómo citar
Referencias
Fuloria M, Wiswell TE. Resuscitation of the meconium-stained in- fant and prevention of meconium aspiration syndrome. J Perinatol 1999;
: 234-41.
Wiswell TE, Tuggle JM, Turner BS. Meconium aspiration syndro- me-have we made a difference? Pediatrics 1990; 85: 715-21.
Wiswell TE, Gannon CM, Jacob J, et al. Delivery Room Manage- ment of the apparently vigorous Meconium-stained Neonate: Result of the multicenter, international collaborative trial. Pediatrics 2000; 105: 1-7.
Peng TC, Gutcher GR, Van Dorsten JP. A selective aggressive appro- ach to the neonate exposed to meconium-stained amniotic fluid. Am J Obstet Gynecol 1996; 175: 296-303.
Katz VL, Bowes WA. Meconium aspiration syndrome: reflections on a murky subject. Am J Obstet Gynecol 1992; 166: 171-83.
Richey SD, Ramin SM, Bawdon RE, et al. Markers of acute and chronic asphyxia in infants with meconium-stained amniotic fluid. Am J Obstet Gynecol 1995; 172: 1212-5.
Fuloria M, Wiswell TE. Managing meconium aspiration. Contem- porary OB/GYN Archive Jul. 3, 2000.
Rubin BK, Tomkiewicz RP, Patrinos ME, et al. The surface and transport proprieties of meconium and reconstituted meconium solutions. Pediatr Res 1996; 40: 834-8.
Nathan L, Leveno KJ, Varmody TJ, et al. Meconium: a 1990's pers- pective on an old obstetric hazard. Obtet Gynecol 1994; 83: 329-32.
Jazayeri A, Politz L, Tsibris JC, et al. Fetal erythropoietin le- vels in pregnancies complicated by meconium passage: does meco- nium suggest fetal hypoxia? Am J Obstet Gynecol 2002; 183: 1 (MD Consult).
Usher RH, Boyd ME, McLean FH, Krammer MS. Assessment of fetal risk in postdate pregnancies. Am J Obstet Gynecol 1988; 158: (abs- tract MD Consult).
Spinillo A, Fazzi E, Capuzzo E, et al. Meconium-stained amniotic fluid and risk for cerebral palsy in preterm infants. Obstet Gynecol 1997;
: 519-23.
Fleisher A, Anyaegbunam A, Guidette D, et al. A persistent clini- cal problem: profile of the term infant with significant respiratory com- plications. Obstet Gynecol 1992; 79: 185-90.
Swaminathan S, Quinn J, Stabile MW, et al. Long-term pulmo- nary sequelae of meconium aspiration syndrome. J Pediatr 1989; 114:
-61.
Berkus MD, Langer O, Samueloff A, et al. Meconium-stained am- niotic fluid: increased risk for adverse neonatal outcomes. Obstet Gyne- col 1994; 84: 115-20.
Thorp JA, Rushing RS. Umbilical cord blood gas analysis. Obstet Gynecol Clin North Am 1999; 26(4): 695-709 (abstract).
Cunningham FG, Gant NF, Leveno KJ, Gilstrap III LC, Hauth JC, Wenstrom KD. Williams Obstetrics 21st Ed. USA: McGraw-Hill; 2001, p. 387-92.
Nelson KB, Grether JK. Potentially asphyxiating conditions and spastic cerebral palsy in infants of normal birth weight. Am J Obstet Gy- necol 1998; 179: 507-13.
MacLennan A. A template for defining a causal relation between acute intra-partum events and cerebral palsy: international consensus sta- tement. BMJ 1999; 319: 1054-9.
ACOG & APP. Criteria required to define an acute intra-partum hypoxic event. Neonatal Encephalopathy and Cerebral Palsy. ACOG & APP 2003; 73-9.
Thomas CC, Gary RG, Peter VDJ. A selective aggressive appro- ach to the neonate exposed to meconium-stained amniotic fluid. Am J Obstet Gynecol 1996; 175: 2.
Dean VC, Curtis Bay R, Glen YK. Transactions of the Sixty-Sixth Annual Meeting of the Pacific Coast Obstetrical and Gynecological So- ciety. The epidemiology of labor induction: Arizona, 1997. Am J Obstet Gynecol 2000; 182: 6.