Mavis N. Schom received her B.S.N. degree in 1981 from the University of Texas in Austin, her M.S. degree in 1987 from Texas Woman's University in Houston, and her nurse-midwifery education from Baylor College of Medicine in Houston in 1990. Currently, she is an Instructor in Clinical Obstetrics, Gynecology, and Reproductive Sciences of the University of Texas Health Science Center at Houston and practices midwifery at the Lyndon Baines Johnson Hospital in Houston, Texas.
EFFECT OF MECONIUM ON DELIVERY OF CHORIOAMNIOTIC MEMBRANES
Article first published online: 6 JAN 2011
1993 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 38, Issue 5, pages 301–304, September-October 1993
How to Cite
Schom, M. N., Blanco, J. D., Chambers, A. N. and Rafferty, C. A. (1993), EFFECT OF MECONIUM ON DELIVERY OF CHORIOAMNIOTIC MEMBRANES. Journal of Nurse-Midwifery, 38: 301–304. doi: 10.1016/0091-2182(93)90111-S
- Issue published online: 6 JAN 2011
- Article first published online: 6 JAN 2011
A decrease in stress tolerance of chorioamniotic membranes when exposed to meconium has previously been demonstrated. Clinically, variations in elastic qualities of membranes can be appreciated during their removal following spontaneous vaginal deliveries. The purpose of this study was to determine if there is a relationship between the presence of meconium-stained amniotic fluid and difficulty in removal of chorioamniotic membranes in spontaneous vaginal deliveries. All deliveries over four months (n = 400) were evaluated for color of amniotic fluid and method of delivery of membranes. Overall, the CNMs used significantly more intervention to deliver the membranes if any meconium was present in the amniotic fluid prior to delivery (Fisher's exact test, P = .000004, df = 1). These results suggest that the accoucheur should be prepared for difficulty in membrane removal in deliveries complicated by meconium-stained fluid.