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 espeso tienen siete veces más posibilidades de presentar convulsiones. El análisis de gases de sangre del cordón umbilical puede excluir el diagnóstico de asfixia al nacimiento en 80% de los casos. La correlación del puntaje Apgar con daño neurológico, se incrementa cuando permanece < 3 después de cinco minutos.
Detalles del artículo
Sección
Cómo citar
Referencias
1. Fuloria M, Wiswell TE. Resuscitation of the meconium-stained infant and prevention of meconium aspiration syndrome. J Perinatol 1999; 19: 234-41.
2. Wiswell TE, Tuggle JM, Turner BS. Meconium aspiration syndrome have we made a difference? Pediatrics 1990; 85: 715-21.
3. Wiswell TE, Gannon CM, Jacob J, et al. Delivery Room Management of the apparently vigorous Meconium-stained Neonate: Result of the multicenter, international collaborative trial. Pediatrics 2000; 105: 1-7.
4. Peng TC, Gutcher GR, Van Dorsten JP. A selective aggressive approach to the neonate exposed to meconium-stained amniotic fluid. Am J Obstet Gynecol 1996; 175: 296-303.
5. Katz VL, Bowes WA. Meconium aspiration syndrome: reflections on a murky subject. Am J Obstet Gynecol 1992; 166: 171-83.
6. Richey SD, Ramin SM, Bawdon RE, et al. Markers of acute and chronic sphyxia in infants with meconium-stained amniotic fluid. Am J Obstet Gynecol 1995; 172: 1212-5.
7. Fuloria M, Wiswell TE. Managing meconium aspiration. Contemporary OB/GYN Archive Jul. 3, 2000.
8. 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.
9. 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.
10. Jazayeri A, Politz L, Tsibris JC, et al. Fetal erythropoietin levels in pregnancies complicated by meconium passage: does meconium suggest fetal hypoxia? Am J Obstet Gynecol 2002; 183: 1 (MD Consult).
11. Usher RH, Boyd ME, McLean FH, Krammer MS. Assessment of fetal risk in postdate pregnancies. Am J Obstet Gynecol 1988; 158: (abstract MD Consult).
12. Spinillo A, Fazzi E, Capuzzo E, et al. Meconium-stained amniotic fluid and risk for cerebral palsy in preterm infants. Obstet Gynecol 1997; 90: 519-23.
13. Fleisher A, Anyaegbunam A, Guidette D, et al. A persistent clinical problem: profile of the term infant with significant respiratory complications. Obstet Gynecol 1992; 79: 185-90.
14. Swaminathan S, Quinn J, Stabile MW, et al. Long-term pulmonary sequelae of meconium aspiration syndrome. J Pediatr 1989; 114: 356-61.
15. Berkus MD, Langer O, Samueloff A, et al. Meconium-stained amniotic fluid: increased risk for adverse neonatal outcomes. Obstet Gyne- col 1994; 84: 115-20.
16. Thorp JA, Rushing RS. Umbilical cord blood gas analysis. Obstet Gynecol Clin North Am 1999; 26(4): 695-709 (abstract).
17.Cunningham FG, Gant NF, Leveno KJ, Gilstrap III LC, Hauth JC, Wenstrom KD. Williams Obstetrics 21st Ed. USA: McGraw-Hill; 2001, p. 387-92.
18. Nelson KB, Grether JK. Potentially asphyxiating conditions and spastic cerebral palsy in infants of normal birth weight. Am J Obstet Gynecol 1998; 179: 507-13.
19. MacLennan A. A template for defining a causal relation between acute intrapartum events and cerebral palsy: international consensus statement. BMJ 1999; 319: 1054-9.
20. ACOG & APP. Criteria required to define an acute intra-partum hypoxic event. Neonatal Encephalopathy and Cerebral Palsy. ACOG & APP 2003; 73-9.
21. Thomas CC, Gary RG, Peter VDJ. A selective aggressive approach to the neonate exposed to meconium-stained amniotic fluid. Am J Obstet Gynecol 1996; 175: 2.
22. Dean VC, Curtis Bay R, Glen YK. Transactions of the Sixty-Sixth Annual Meeting of the Pacific Coast Obstetrical and Gynecological Society. The epidemiology of labor induction: Arizona, 1997. Am J Obstet Gynecol 2000; 182: 6.