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Bloody amniotic fluid during labor – Prevalence, and association with placental abruption, neonatal morbidity, and adverse pregnancy outcomes

European Journal of Obstetrics & Gynecology and Reproductive Biology Feb 24, 2019

Gluck O, et al. - Researchers investigated how bloody amniotic fluid (BAF) during labor is associated with adverse pregnancy outcomes. An institutional protocol that mandates obstetricians/midwives to report their subjective impression of the color of amniotic fluid (clear, meconium stained, bloody) during labor was implemented in the last 10 years. They reviewed 21,300 deliveries overall; 20,983 (98.5%) in the Clear group and 317 (1.5%) in the BAF group. No association of BAF with a composite adverse neonatal outcome, or with placental abruption was noted. They observed higher rates of labor induction, assisted vaginal deliveries, cesarean deliveries, and lower birth weights in correlation with BAF. Considering these finding, obstetricians and neonatologists could interpret BAF observed in labor.
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