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A 19 -year old African American primigravida woman at 43 weeks of Gestation came
A 19 -year old African American primigravida woman at 43 weeks of Gestation came to ED for elective induction of labor and delivery due to post-term pregnancy. She was admitted to the Maternity Unit. She has a history of smoking during pregnancy. Prenatal ultrasounds were normal with no fetal/ placental anomalies. She was given Prostaglandin E2 gel for cervical ripening and induction of labor due to postdate pregnancy and unfavorable cervix. After induction of labor she progressed into active labor with 6 cm cervical dilation and 100% effacement. External fetal monitoring tracing showed fetal distress due to irregular deceleration with drops of 25 beats per minute. ARM was performed. Amniotic fluid was mildly stained with meconium. Amnio-infusion (with saline infused through intrauterine catheter) was done and assisted vaginal delivery was performed which resulted in birth of a single live born with no signs of respiratory distress and no MAS(Meconium Aspiration Syndrome). Neonate was observed for 12 hours for O2 saturation and for other signs of respiratory distress. Mother and child were discharged after 2 days with final diagnosis of Meconium stained Amniotic fluid during assisted vaginal delivery due to Post-term pregnancy.
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