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Babies born through meconium stained liquor with 5 min Apgar scores of 9 or 10 had very low risk of respiratory distress

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Study design


Prospective cohort of babies born through meconium stained amniotic fluid (MSAF) between 2003 and 2006.


Two teaching hospitals in The Hague, The Netherlands.


394 term (>37/40) neonates were born through MSAF. The mean gestational age was 40 weeks, 56% were male, and mean birth weight was 3.5 kg.


Meconium aspiration syndrome (MAS) (respiratory distress, oxygen or mechanical ventilation requirement in the first 24 h of birth). Risk factors assessed included abnormalities of fetal heart trace, consistency of meconium, umbilical artery pH and 5 min Apgar score.

Follow-up period

Every baby was followed up for a minimum of 24 …

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  • Provenance and peer review Commissioned; internally peer reviewed.