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dc.contributor.CRUESPUNIVERSIDADE ESTADUAL DE CAMPINASpt_BR
dc.typeArtigo de periódicopt_BR
dc.titleMeconium-stained amniotic fluid and maternal and neonatal factors associatedpt_BR
dc.contributor.authorOsava, Ruth Hitomipt_BR
dc.contributor.authorBarbosa da Silva, Flora Mariapt_BR
dc.contributor.authorJunqueira Vasconcellos de Oliveira, Sonia Mariapt_BR
dc.contributor.authorTuesta, Esteban Fernandezpt_BR
dc.contributor.authorEstanislau do Amaral, Maria Clarapt_BR
unicamp.authorEstanislau do Amaral, Maria Clarapt_BR
unicamp.author.externalOsava, Ruth Hitomipt
unicamp.author.externalBarbosa da Silva, Flora Mariapt
unicamp.author.externalJunqueira Vasconcellos de Oliveira, Sonia Mariapt
unicamp.author.externalTuesta, Esteban Fernandezpt
dc.subjectMeconium Aspiration Syndrome, epidemiologypt_BR
dc.subjectNatural Childbirthpt_BR
dc.subjectObstetric Labor Complicationspt_BR
dc.subjectCesarean Sectionpt_BR
dc.subjectCross-Sectional Studiespt_BR
dc.subject.wosASPIRATION SYNDROMEpt_BR
dc.subject.wosPREGNANCIESpt_BR
dc.subject.wosTERMpt_BR
dc.subject.wosEPIDEMIOLOGYpt_BR
dc.subject.wosGESTATIONpt_BR
dc.subject.wosINFANTSpt_BR
dc.subject.wosLABORpt_BR
dc.description.abstractOBJECTIVE: To identify the frequency and maternal and neonatal factors associated with meconium-stained amniotic fluid at birth. METHODS: Cross-sectional study carried out with 2,441 births at an in-hospital birth center in the city of Sao Paulo (Southeastern Brazil) in March and April, 2005. The association between meconium-stained amniotic fluid and the independent variables (maternal age, parity, previous c-section or not, gestational age, obstetric history, oxytocin use in the labor, cervical dilation at admission, mode of current delivery, newborn weight, Apgar score at the 1st and 5th minute) was expressed as prevalence ratio (PR). RESULTS: Meconium-stained amniotic fluid was verified in 11.9% of the births; 68.2% of these were normal births and 38.8% c-sections. Meconium was associated with: primiparity (PR=1.49, 95% CI 1.29; 1.73), gestational age >= 41 weeks (PR = 5.05, 95% CI 1.93; 13.25), oxytocin in labor (PR = 1.83, 95% CI 1.60; 2.10), c-section (PR = 2.65, 95% CI 2.17; 3.24) and Apgar scores < 7 at the 5th minute (PR = 2.96, 95% CI 2,94; 2,99). Neonatal mortality was 1.6/1,000 live births. Meconium-stained amniotic fluid was found in 50% of neonatal deaths and it was associated with higher rates of surgical deliveries. CONCLUSIONS: Oxytocin use, worse conditions of the newborn after the delivery and increased c-section rates were factors associated with meconium-stained amniotic fluid. Routine use of oxytocin in the intrapartum period could be evaluated due to its association with meconium-stained amniotic fluid.pt
dc.relation.ispartofRevista de Saude Publicapt_BR
dc.publisher.citySao Paulopt_BR
dc.publisher.countryBrazilpt_BR
dc.publisherRevista De Saude Publicapt_BR
dc.date.issued2012pt_BR
dc.identifier.citationRevista de Saude Publica. Revista De Saude Publica, v.46, n.6, p.1023-1029, 2012pt_BR
dc.language.isoporpt_BR
dc.description.volume46pt_BR
dc.description.issuenumber6pt_BR
dc.description.firstpage1023pt_BR
dc.description.lastpage1029pt_BR
dc.rightsabertopt_BR
dc.sourceWOSpt_BR
dc.identifier.issn0034-8910pt_BR
dc.identifier.wosidWOS:000316128000012pt_BR
dc.date.available2013-09-19T18:06:24Z
dc.date.available2016-07-01T15:41:28Z-
dc.date.accessioned2013-09-19T18:06:24Z
dc.date.accessioned2016-07-01T15:41:28Z-
dc.description.provenanceMade available in DSpace on 2013-09-19T18:06:24Z (GMT). No. of bitstreams: 0 Previous issue date: 2012en
dc.description.provenanceMade available in DSpace on 2016-07-01T15:41:28Z (GMT). No. of bitstreams: 4 WOS000316128000012_I.pdf: 110752 bytes, checksum: ea24d1b5f4fac863446be86793244c6e (MD5) WOS000316128000012_P.pdf: 148040 bytes, checksum: 8edd559c918939689f90897d4b806198 (MD5) WOS000316128000012_I.pdf.txt: 27890 bytes, checksum: d3a81aece8b457154c80a433d5fbb977 (MD5) WOS000316128000012_P.pdf.txt: 30861 bytes, checksum: 744231e79a32347f9a637231394e821d (MD5) Previous issue date: 2012en
dc.identifier.urihttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/2124
dc.identifier.urihttp://repositorio.unicamp.br/jspui/handle/REPOSIP/2124-
dc.contributor.departmentEnfermagem
dc.contributor.unidadeFCMpt
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