الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Neonatal respiratory distress immediately after birth is one of the most common problems which is facing neonatologists and good resuscitation improve its outcome. Neonatal respiratory distress in most cases is transient and improves within hours but it persists in some cases for days and this is due to many causes which are pulmonary (like transient tachypnea of newborn, respiratory distress syndrome, meconium aspiration syndrome, pneumonia and air leak syndrome) or extrapulmonary (likecongenital heart diseases, congestive heart failure, persistent pulmonary hypertension of newborn and congenital diaphragmatic hernia).
However the presence of meconium in the amniotic fluid at birth maybe a physiological event in full-term and post-term babies, meconium maybe a cause of respiratory distress by itself through inhalation and aspiration of it causing meconium aspiration syndrome or a result of perinatal asphyxia and fetal distress which they cause respiratory distress.
In this study we discuss the relationship between neonatal respiratory distress and meconium stained amniotic fluid although this distress caused by meconium aspiration syndrome or due to perinatal asphyxia and fetal distress. We try to explore the benefits of 24hours clinical observation for all babies born through meconium stained amniotic fluid.
This study was conducted on 100 full-term or post-term neonates born through meconium stained amniotic fluid. Respiration was assessed by Downes’ scoring system at birth and after 24hours of life to find out cases of respiratory distress.
The study reveal that there is a correlation between neonatal respiratory distress and meconium stained amniotic fluid within the 1st24hours of life.
Neonatal respiratory distress immediately after birth is one of the most common problems which is facing neonatologists and good resuscitation improve its outcome. Neonatal respiratory distress in most cases is transient and improves within hours but it persists in some cases for days and this is due to many causes which are pulmonary (like transient tachypnea of newborn, respiratory distress syndrome, meconium aspiration syndrome, pneumonia and air leak syndrome) or extrapulmonary (likecongenital heart diseases, congestive heart failure, persistent pulmonary hypertension of newborn and congenital diaphragmatic hernia).
However the presence of meconium in the amniotic fluid at birth maybe a physiological event in full-term and post-term babies, meconium maybe a cause of respiratory distress by itself through inhalation and aspiration of it causing meconium aspiration syndrome or a result of perinatal asphyxia and fetal distress which they cause respiratory distress.
In this study we discuss the relationship between neonatal respiratory distress and meconium stained amniotic fluid although this distress caused by meconium aspiration syndrome or due to perinatal asphyxia and fetal distress. We try to explore the benefits of 24hours clinical observation for all babies born through meconium stained amniotic fluid.
This study was conducted on 100 full-term or post-term neonates born through meconium stained amniotic fluid. Respiration was assessed by Downes’ scoring system at birth and after 24hours of life to find out cases of respiratory distress.
The study reveal that there is a correlation between neonatal respiratory distress and meconium stained amniotic fluid within the 1st24hours of life.