میزان واقعات میکونیم اسپیریشن سندروم در یک سال درشفاخانه استقلال کابل افغانستان
اسپیریشن سندروم، نوزادان، اخطلاتات، سن
میزان واقعات میکونیم اسپیریشن سندروم در یک سال در شفاخانه استقلال، کابل - افغانستان
ترینرمتخصص داخله اطفال شفاخانه استقلال – کابل، افغانستان
Abstract:
Background: Meconium Aspiration Syndrome (MAS) is one of the
most common causes of respiratory distress in term and post-term neonates. The
occurrence rate of meconium-stained amniotic fluid varies between 5-25%
(average 14%). MAS occurs in approximately 10% of neonates born with
meconium-stained amniotic fluid. Infants born with meconium-stained amniotic
fluid have a 100 times higher risk of respiratory distress compared to those
born with clear amniotic fluid. Objective: To measure the incidence of
MAS over six months at Esteqlal Hospital. Methodology: This descriptive
study was conducted in the form of a case series. Results: In this
study, which included 76 patients, 4. 6% of all cases were identified with MAS.
Among the affected neonates, 61. 8% had a birth weight over 2500 grams, 69. 8%
had thick meconium, 73. 7% were term, 63. 2% were male, and 75% resided in
Kabul. Additionally, 82. 9% experienced respiratory distress immediately after
birth, 50% were delivered via surgical procedures, and maternal hypertension
was present in 31. 6% of cases.
Conclusion: Although the incidence of MAS was lower than other neonatal conditions, it accounted for a significant portion of respiratory distress cases. MAS was observed more frequently in male neonates and in those with respiratory distress. The primary risk factors were respiratory distress, thick meconium, surgical delivery, and maternal hypertension.
Keywords: Aspiration syndrome, neonates,
complications, gestational age.
