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Title: | Differences in meconium stained amniotic fluid in an Australian population: A retrospective study. | Authors: | McIntyre M.;Copnell B.;Carr B.L. | Institution: | (Carr, McIntyre) Monash University, School of Nursing and Midwifery, McMahons Rd, Frankston, VIC 3199, Australia (Carr) Monash Medical Centre, Women's & Children's Program, 246 Clayton Rd, Clayton, VIC 3168, Australia (Copnell) La Trobe University, School of Nursing and Midwifery Centre, Plenty Rd & Kingsbury Dve, Bundoora, VIC 3086, Australia | Issue Date: | 24-Apr-2019 | Copyright year: | 2019 | Publisher: | Elsevier B.V. | Place of publication: | Netherlands | Publication information: | Women and Birth. 32 (2) (pp e259-e263), 2019. Date of Publication: April 2019. | Journal: | Women and Birth | Abstract: | Background: Meconium stained amniotic fluid commonly occurs postdates (>40 weeks gestation) indicating fetal maturity. Previous literature indicates that different ethnicities mature at different rates. Aim(s): To compare the rate of meconium stained amniotic fluid of Australian-born and non-Australian born women. Method(s): A retrospective correlation study design was implemented, using data collected in the birth outcomes system at one tertiary hospital. Data was collected from all women who gave birth to a term (>/=37 weeks gestation), singleton, liveborn baby between January 1st to December 31st, 2014. Maternal country of birth was used for comparison. Categorical data was analyzed using Chi-Square test for Independence. Continuous variables were assessed for normality, and differences were compared using an Independent t-test or a Mann-Whitney U test. All tests were two-tailed and p < 0.05 was considered statistically significant. Result(s): 3,041 women were included; 1131 Australian-born and 1910 non-Australian born. Meconium stained amniotic fluid occurred more frequently in non-Australian born women compared to Australian-born women (23.5% vs. 19.8 p = 0.02). Their babies were significantly smaller (Mean = 3265 g, Standard Deviation 463.8 vs Mean = 3442 g, Standard Deviation 499.2, p < 0.001), with no difference in gestational length (Mean = 39.4, Standard Deviation 1.28 vs Mean = 39.5, Standard Deviation 1.18, p = 0.06). Increasing gestational age had the strongest association with meconium stained amniotic fluid; >/=42 weeks gestation occurring 3.52 (95% Confidence Interval: 2.00, 6.22, p = <0.001) more than <40 weeks gestation. Conclusion(s): Maternity health services should record ethnicity and region of birth to provide individualised care as women born overseas often have poorer perinatal outcomes when compared to Australian-born women.Copyright © 2018 Australian College of Midwives | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1016/j.wombi.2018.06.001 | PubMed URL: | 29954687 [http://www.ncbi.nlm.nih.gov/pubmed/?term=29954687] | ISSN: | 1871-5192 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/35705 | Type: | Article | Subjects: | female adolescent adult *amnion fluid article *Australian ethnicity fetus maturity gestational age human human experiment *meconium pregnancy priority journal retrospective study human human experiment *meconium pregnancy priority journal retrospective study female fetus maturity gestational age *Australian Article *amnion fluid adult adolescent ethnicity |
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