These findings may assist obstetricians and neonatologists in the interpretation of BAF observed in labor.īloody amniotic fluid Cesarean delivery Neonatal outcomes Placental abruption.Ĭopyright © 2019 Elsevier B.V. BAF was associated with higher rates of labor induction, assisted vaginal deliveries, cesarean deliveries, and lower birth weights. BAF was associated with higher rates of labor induction (p = 0.002), assisted vaginal deliveries (p = 0.04), cesarean deliveries (p = 0.03), and lower birth weights (p = 0.03).īAF observed in labor was not associated with composite adverse neonatal outcome, nor with placental abruption. The rate of placental abruption (both clinically and hystopathologically) did not differ between the groups (3.2% vs. The rate of the primary outcome did not differ between the BAF (2.2%) and the Clear (2.1%) groups. Overall, 21,300 deliveries were reviewed, 20,983 (98.5%) in the Clear group and 317 (1.5%) in the BAF group. The primary outcome was a composite of the following complications: umbilical Ph ≤ 7.1, seizures, hypoxic-ischemic encephalopathy, intra-ventricular hemorrhage, periventricular leukomalacia, hypoglycemia, hypothermia, mechanical ventilation, meconium aspiration syndrome, RDS, NEC, phototherapy, sepsis, or transfusion. Cases with meconium stained AF were excluded. ![]() ![]() The cohort was divided into two groups: clear AF (Clear group) and BAF (BAF group). The medical records, and neonatal charts of all singleton deliveries ≥ 37 0/7 weeks between 2008-2018 were reviewed. In the last 10 years we have implemented an institutional protocol that mandates obstetricians/midwives to report their subjective impression of the color of amniotic fluid (clear, meconium stained, bloody) during labor. The fluid that is released when your waters break is usually clear or pink in colour, but sometimes it can become yellow or green due to your baby passing their first poo (meconium) inside the sac. You may feel a slow leak or a sudden gush of water. ![]() To study the association between bloody amniotic fluid (BAF) during labor and adverse pregnancy outcomes. Usually, your waters will break during labour.
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