{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T23:24:34Z","timestamp":1787786674141,"version":"build-2784847793"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,2,11]],"date-time":"2021-02-11T00:00:00Z","timestamp":1613001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To study maternal and intrapartum factors associated with adverse neonatal outcome in deliveries complicated by meconium\u2010stained amniotic fluid (MSAF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study of all women with singleton gestations undergoing trial of labor with MSAF during 2011\u20132020. Deliveries with adverse neonatal outcome were compared with deliveries without.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 11\u00a0329 were included; 376 (3.3%) neonates were diagnosed with adverse neonatal outcomes. Multivariable regression analysis underlined the following factors as independently associated with composite adverse neonatal outcome: pregestational diabetes (odds ratio [OR] 3.21, 95% confidence interval [CI] 1.09\u20139.43,\n                      <jats:italic>P\u00a0<\/jats:italic>\n                      =\u00a00.031), polyhydramnios (OR 2.14, 95% CI 1.33\u20133.44,\n                      <jats:italic>P\u00a0<\/jats:italic>\n                      =\u00a00.002), fever (OR 2.52, 95% CI 1.67\u20133.80,\n                      <jats:italic>P\u00a0<\/jats:italic>\n                      &lt;\u00a00.001), and amnioinfusion (OR 1.73, 95% CI 1.24\u20132.2438,\n                      <jats:italic>P\u00a0<\/jats:italic>\n                      =\u00a00.003). When 0, 1, 2, and 3 of the independent risk factors identified were present, the rates of adverse neonatal outcome were 2.9%, 5.5%, 10.0%, and 100%, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The current study's results suggest that special attention should be payed to deliveries complicated by MSAF and with any of the following factors\u2014polyhydramnios, intrapartum fever, amnioinfusion, and pregestational diabetes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.13592","type":"journal-article","created":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T16:18:11Z","timestamp":1610727491000},"page":"515-520","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Prediction of adverse neonatal outcome among newborns born through meconium\u2010stained amniotic fluid"],"prefix":"10.1002","volume":"154","author":[{"given":"Gabriel","family":"Levin","sequence":"first","affiliation":[{"name":"The Department of Obstetrics and Gynecology Hadassah\u2010Hebrew University Medical Center Jerusalem Israel"},{"name":"Faculty of Medicine Hebrew University Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abraham","family":"Tsur","sequence":"additional","affiliation":[{"name":"The Department of Obstetrics and Gynecology the Chaim Sheba Medical Center, Ramat\u2010Gan, Israel, Faculty of Medicine, Tel\u2010Aviv University Tel\u2010Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Shai","sequence":"additional","affiliation":[{"name":"The Department of Obstetrics and Gynecology the Chaim Sheba Medical Center, Ramat\u2010Gan, Israel, Faculty of Medicine, Tel\u2010Aviv University Tel\u2010Aviv 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