{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T20:55:58Z","timestamp":1788555358437,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,8,4]],"date-time":"2023-08-04T00:00:00Z","timestamp":1691107200000},"content-version":"vor","delay-in-days":215,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. The passage of meconium during labor increased the chance of undesirable birth outcomes. The adverse effects of meconium are worsening in resource\u2010limited countries. In Ethiopia, there is an argument concerning meconium\u2019s negative effects and management on pregnant women and their babies. Therefore, this study was intended to assess the adverse maternal and perinatal outcomes of meconium in term labor in the South Gondar Zone, Ethiopia. <jats:italic>Methods<\/jats:italic>. A prospective cohort study was conducted using 580 laboring mothers (145 exposed and 435 nonexposed groups). A two\u2010stage sampling method was implemented to get study subjects. The data were collected using an interviewer\u2010administered structured questionnaire and a medical chart review. SPSS version 25 was used for data analysis. Chi\u2010squared and Fisher\u2019s exact tests were used to compare the two groups\u2019 differences. The strength of the association was measured using relative risk with a 95% CI. <jats:italic>Result<\/jats:italic>. There was more operative delivery (28.3% versus 5.3%), puerperal sepsis (79.54% versus 2.06%), nonreassuring fetal heart rate pattern (29.7% versus 2.1%), meconium aspiration syndrome (7.58% versus 0.68%), neonatal sepsis (9% versus 4.1%), perinatal asphyxia (13.8% versus 7.6%), admission to the neonatal intensive care unit (23.4% versus 3.2%), and early neonatal deaths (4.8% versus 1.4%) among meconium stained groups as compared to the clear amniotic fluid groups. <jats:italic>Conclusion<\/jats:italic>. Meconium\u2010stained amniotic fluid significantly increased adverse maternal and perinatal outcomes in Ethiopia. The risk of perinatal asphyxia, nonreassuring fetal heart rate pattern, neonatal sepsis, meconium aspiration syndrome, admission to the NICU, early neonatal death, operative delivery, and puerperal sepsis were significantly higher in meconium\u2010exposed groups. Special attention should be given to meconium\u2010exposed mothers during the intrapartum period and in postnatal follow\u2010up.<\/jats:p>","DOI":"10.1155\/2023\/8725161","type":"journal-article","created":{"date-parts":[[2023,8,4]],"date-time":"2023-08-04T18:05:08Z","timestamp":1691172308000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Adverse Maternal and Perinatal Outcomes of Meconium\u2010Stained Amniotic Fluid in Term Labor at Hospitals in South Gondar Zone, Northwest Ethiopia: A Prospective Cohort Study"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6087-6384","authenticated-orcid":false,"given":"Dagne","family":"Addisu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6022-4717","authenticated-orcid":false,"given":"Maru","family":"Mekie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,4]]},"reference":[{"key":"e_1_2_13_1_2","doi-asserted-by":"publisher","DOI":"10.3329\/bjch.v33i2.5675"},{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-018-2056-y"},{"key":"e_1_2_13_3_2","first-page":"146","article-title":"Perinatal outcome of meconium stained liquor in pre-term, term and post-term pregnancy","volume":"4","author":"Jain P. 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