The Association between Meconium-Stained Amniotic Fluid and Chorioamnionitis or Endometritis
Suthee Panichkul MD, MSc*, Kultaree Boonprasert MD**, Sayomporn Komolpis MD**, Prisana Panichkul MD**, Supak Caengow MSc***
Affiliation : * Department of Military and Community Medicine, Phramongkutklao College of Medicine ** Department of Obstetrics & Gynecology, Phramongkutklao Hospital *** Office of Research Development, Phramongkutklao College of Medicine
Objective : Assess the association between meconium-stained amniotic fluid and chorioamnionitis or en-
dometritis in term pregnant women.
Materials and Methods : A five-year retrospective study was undertaken between January 1, 1999 and December
31, 2003. One thousand seventy-nine pregnant women who delivered at the Department of Obstetrics &
Gynecology, Phramongkutklao Hospital were included in the present study.
Results : Five hundred and fifty-three pregnant women (51.25%) had meconium-stained amniotic fluid (group
1) and 526 (48.75%) pregnant women were clear of amniotic fluid (group 2). Two pregnant woman in group
1 (0.36%) and eight pregnant women in group 2 (1.52%) were found to have chorioamnionitis (OR = 0.235).
Postpartum endometritis was detected in only one (0.18%) pregnant women in group 1 and nine (1.71%)
pregnant women in group 2 (OR = 0.104).
Conclusion : No association was found between meconium-stained amniotic fluids and chorioamnionitis or
endometritis.
Keywords : Meconium-stained amniotic fluid, Chorioamnionitis, Endometritis
