Time of passage of first stool in newborns in a tertiary health facility in Southern Nigeria

Introduction: The first stool passed by the newborn, the meconium, is different from the ordinary stool both in its nature and its implication. Delayed or non-passage of the meconium may represent a number of clinical conditions. In this study, we sought to identify what should be considered delayed...

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Main Authors: Philemon E Okoro, Cosmos E Enyindah
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Nigerian Journal of Surgery
Subjects:
Online Access:http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2013;volume=19;issue=1;spage=20;epage=22;aulast=Okoro
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author Philemon E Okoro
Cosmos E Enyindah
author_facet Philemon E Okoro
Cosmos E Enyindah
author_sort Philemon E Okoro
collection DOAJ
description Introduction: The first stool passed by the newborn, the meconium, is different from the ordinary stool both in its nature and its implication. Delayed or non-passage of the meconium may represent a number of clinical conditions. In this study, we sought to identify what should be considered delayed passage of meconium in our babies. Aims and Objectives: To investigate the timing of passage of first stool in Nigerian neonates and whether it is influenced by gender, birth weight, maternal age, and parity. Materials and Methods: A proforma was designed to obtain the following data: Maternal age, parity, mode of delivery, Apgar score at 1 min, birth weight, gender, and interval between delivery and passage of first stool among normal newborn babies delivered at the obstetrics department of our center in August and September 2010. Results: One hundred babies out of 393 delivered during the period of the study were included in the study. There were 63 (63%) males and 37 (37%) females. The interval between delivery and passage of meconium ranged from 0.5 to 54 h; mean, 16.2 (SD = 10.57). This was not influenced by gender, weight, maternal age, and parity. Conclusion: Non-passage of meconium beyond 48 h of life could be considered delayed. We therefore, recommend that clinicians should re-evaluate newborns, for hitherto unrecognized conditions, if after 48 h they have not passed first stool.
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spelling doaj.art-d2fce1d2f6a74a6a92a085b7b9822d2c2022-12-22T00:54:47ZengWolters Kluwer Medknow PublicationsNigerian Journal of Surgery1117-68062278-71002013-01-01191202210.4103/1117-6806.111503Time of passage of first stool in newborns in a tertiary health facility in Southern NigeriaPhilemon E OkoroCosmos E EnyindahIntroduction: The first stool passed by the newborn, the meconium, is different from the ordinary stool both in its nature and its implication. Delayed or non-passage of the meconium may represent a number of clinical conditions. In this study, we sought to identify what should be considered delayed passage of meconium in our babies. Aims and Objectives: To investigate the timing of passage of first stool in Nigerian neonates and whether it is influenced by gender, birth weight, maternal age, and parity. Materials and Methods: A proforma was designed to obtain the following data: Maternal age, parity, mode of delivery, Apgar score at 1 min, birth weight, gender, and interval between delivery and passage of first stool among normal newborn babies delivered at the obstetrics department of our center in August and September 2010. Results: One hundred babies out of 393 delivered during the period of the study were included in the study. There were 63 (63%) males and 37 (37%) females. The interval between delivery and passage of meconium ranged from 0.5 to 54 h; mean, 16.2 (SD = 10.57). This was not influenced by gender, weight, maternal age, and parity. Conclusion: Non-passage of meconium beyond 48 h of life could be considered delayed. We therefore, recommend that clinicians should re-evaluate newborns, for hitherto unrecognized conditions, if after 48 h they have not passed first stool.http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2013;volume=19;issue=1;spage=20;epage=22;aulast=OkoroFirst stoolmeconiumnigerian newbornstiming
spellingShingle Philemon E Okoro
Cosmos E Enyindah
Time of passage of first stool in newborns in a tertiary health facility in Southern Nigeria
Nigerian Journal of Surgery
First stool
meconium
nigerian newborns
timing
title Time of passage of first stool in newborns in a tertiary health facility in Southern Nigeria
title_full Time of passage of first stool in newborns in a tertiary health facility in Southern Nigeria
title_fullStr Time of passage of first stool in newborns in a tertiary health facility in Southern Nigeria
title_full_unstemmed Time of passage of first stool in newborns in a tertiary health facility in Southern Nigeria
title_short Time of passage of first stool in newborns in a tertiary health facility in Southern Nigeria
title_sort time of passage of first stool in newborns in a tertiary health facility in southern nigeria
topic First stool
meconium
nigerian newborns
timing
url http://www.nigerianjsurg.com/article.asp?issn=1117-6806;year=2013;volume=19;issue=1;spage=20;epage=22;aulast=Okoro
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