Background: Meconium-stained amniotic fluid (MSAF) is a significant concern in obstetrics due to its association with adverse neonatal outcomes. Understanding the factors of risk and neonatal outcomes related with MSAF is crucial for improving maternal and neonatal care. Aim: This study aims to identify the risk factors for meconium-stained liquor and evaluate the neonatal outcomes in cases with meconium-stained amniotic fluid. Methods: This retrospective observational study at Darbhanga Medical College and Hospital included 96 pregnant women with MSAF and their neonates. Data on maternal risk factors and neonatal outcomes were collected from medical records. Statistical analysis was performed using SPSS version 21.0 to identify significant associations, with a p-value of <0.05 considered significant. The study aimed to identify risk factors for MSAF and evaluate neonatal outcomes. Results: The study found that advanced maternal age, nulliparity, post-term pregnancy, and pregnancy-induced hypertension were significant risk factors for MSAF. Neonates born with MSAF had lower Apgar scores at 1 minute, higher incidences of respiratory distress, and were more likely to be admitted to the NICU. There was no significant difference in birth weight between neonates with and without MSAF. These findings underline the need for close monitoring and timely intervention in high-risk pregnancies to improve neonatal outcomes. Conclusion: Advanced maternal age, nulliparity, post-term pregnancy, and pregnancy-induced hypertension are noteworthy risk factors for MSAF. Neonates born with MSAF are at high risk for respiratory problems and NICU admission. Early identification and management of these risk factors can improve neonatal outcomes. Recommendations: Increased monitoring and timely intervention for high-risk pregnancies can help mitigate the adverse outcomes associated with MSAF. Further research with larger sample sizes and multicenter studies is recommended to validate these findings and develop standardized management procedures.

Background: Meconium-stained amniotic fluid (MSAF) is a significant concern in obstetrics due to its association with adverse neonatal outcomes. Understanding the factors of risk and neonatal outcomes related with MSAF is crucial for improving maternal and neonatal care. Aim: This study aims to identify the risk factors for meconium-stained liquor and evaluate the neonatal outcomes in cases with meconium-stained amniotic fluid. Methods: This retrospective observational study at Darbhanga Medical College and Hospital included 96 pregnant women with MSAF and their neonates. Data on maternal risk factors and neonatal outcomes were collected from medical records. Statistical analysis was performed using SPSS version 21.0 to identify significant associations, with a p-value of <0.05 considered significant. The study aimed to identify risk factors for MSAF and evaluate neonatal outcomes. Results: The study found that advanced maternal age, nulliparity, post-term pregnancy, and pregnancy-induced hypertension were significant risk factors for MSAF. Neonates born with MSAF had lower Apgar scores at 1 minute, higher incidences of respiratory distress, and were more likely to be admitted to the NICU. There was no significant difference in birth weight between neonates with and without MSAF. These findings underline the need for close monitoring and timely intervention in high-risk pregnancies to improve neonatal outcomes. Conclusion: Advanced maternal age, nulliparity, post-term pregnancy, and pregnancy-induced hypertension are noteworthy risk factors for MSAF. Neonates born with MSAF are at high risk for respiratory problems and NICU admission. Early identification and management of these risk factors can improve neonatal outcomes. Recommendations: Increased monitoring and timely intervention for high-risk pregnancies can help mitigate the adverse outcomes associated with MSAF. Further research with larger sample sizes and multicenter studies is recommended to validate these findings and develop standardized management procedures.