{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T08:41:40Z","timestamp":1697445700855},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,11,5]],"date-time":"2012-11-05T00:00:00Z","timestamp":1352073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine perinatal parameters among term newborn infants born by vaginal delivery with meconium\u2010stained amniotic fluid (<jats:styled-content style=\"fixed-case\">MSAF<\/jats:styled-content>) that needed paediatrician assistance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Paediatricians who were in attendance in the delivery room due to <jats:styled-content style=\"fixed-case\">MSAF<\/jats:styled-content> among term infants completed 775 reports regarding the infants' delivery conditions, and the assistance provided. We defined \u2018paediatrician attendance needed\u2019 for a subgroup of infants for whom we retrospectively determined that paediatrician attendance in the delivery room was required.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>\u2018Paediatrician attendance needed\u2019 was determined in 31 (4%) cases. Among cases with documented normal foetal monitor, only 10 (1.8%) were defined as \u2018paediatrician attendance needed\u2019, a percentage significantly lower than among infants born following non\u2010reassuring foetal monitor: 21 (9.7%) (p\u00a0&lt;\u00a00.001). \u2018Paediatrician attendance needed\u2019 was predicted by non\u2010reassuring foetal monitor [<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 6.02 (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 2.72\u201313.31), p\u00a0&lt;\u00a00.001], maternal fever [<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 6.34 (1.92\u201320.92), p\u00a0=\u00a00.002] and younger maternal age (for every year) [<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 0.889 (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.82\u20130.96), p\u00a0=\u00a00.003].<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Term newborn infants born by vaginal delivery with <jats:styled-content style=\"fixed-case\">MSAF<\/jats:styled-content> with documented normal tracing foetal monitor are at low risk of the need for paediatrician assistance. Paediatrician attendance in the delivery room in labour involving <jats:styled-content style=\"fixed-case\">MSAF<\/jats:styled-content> should be recommended when non\u2010reassuring foetal monitor tracing is observed and should also be considered when maternal fever is recorded, and\/or thick meconium is observed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.12053","type":"journal-article","created":{"date-parts":[[2012,10,8]],"date-time":"2012-10-08T17:23:49Z","timestamp":1349717029000},"update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Meconium\u2010stained amniotic fluid and the need for paediatrician attendance"],"prefix":"10.1111","volume":"102","author":[{"given":"Ayala","family":"Maayan\u2010Metzger","sequence":"first","affiliation":[{"name":"Department of Neonatology The Edmond and Lili Safra Children's Hospital Ramat\u2010Gan Israel"},{"name":"Sackler Faculty of Medicine Tel Aviv University Tel\u2010Aviv 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