Meconium aspiration syndrome in neonates
Perhaps the most significant changes in airway management over the recent years have been in the management of an infant delivered through meconium- stained amniotic fluid( MSAF). MSAF occurs in approximately 10℅ to 20℅ of all deliveries and increases to over 30℅ in deliveries after 42 weeks gestati...
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
1994-12-01
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| Series: | Journal of Kerman University of Medical Sciences |
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| Online Access: | https://jkmu.kmu.ac.ir/article_38726_2eaa112116b3c690e12708a9610a2120.pdf |
| _version_ | 1797790545196613632 |
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| author | P Nik-Nafs |
| author_facet | P Nik-Nafs |
| author_sort | P Nik-Nafs |
| collection | DOAJ |
| description | Perhaps the most significant changes in airway management over the recent years have been in the management of an infant delivered through meconium- stained amniotic fluid( MSAF). MSAF occurs in approximately 10℅ to 20℅ of all deliveries and increases to over 30℅ in deliveries after 42 weeks gestation. Meconium aspiration syndrome ( MAS) occurs in about 2℅ to 5℅ of these cases with a high mortality rate. Although it is generally agreed that meconium staining of the amniotic fluid is associated with increased perinatal mortality and morbidity, the benefits of routine delivery- room intubation of the meconium- stained newborn have recently been questioned. Until well-designed prospective investigations are performed, reasonable guidelines to follow are those established by a joint committee of the American Academy of pediatrics( SAP) and the American Heart Association ( AHA) in 1992. Following obstetric oropharyngeal suctioning, the committee recommended that intratracheal suctioning be performed on all meconium- stained babies if (1) there is evidence of fetal in utero distress ( for example, abnormal electric fetal monitoring), (2) the neonate is depressed or requires positive pressure ventilation in the delivery room,(3) the meconium is thick or particulate in nature( this includes " moderately- thick" meconium), or(4) if obstetric pharyngeal suctioning was not performed at all. The remaining meconium- stained babies may not need intratracheal suction should there be thin- consistency MSAF , if the obstetrician has adequately suctioned the pharynx, and if the infant is vigorous. |
| first_indexed | 2024-03-13T02:06:08Z |
| format | Article |
| id | doaj.art-60fa67f014ce427fa8a2d40491f5185d |
| institution | Directory Open Access Journal |
| issn | 2008-2843 |
| language | English |
| last_indexed | 2024-03-13T02:06:08Z |
| publishDate | 1994-12-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | Journal of Kerman University of Medical Sciences |
| spelling | doaj.art-60fa67f014ce427fa8a2d40491f5185d2023-07-01T05:44:22ZengKerman University of Medical SciencesJournal of Kerman University of Medical Sciences2008-28431994-12-0111344438726Meconium aspiration syndrome in neonatesP Nik-Nafs0Associate professorPerhaps the most significant changes in airway management over the recent years have been in the management of an infant delivered through meconium- stained amniotic fluid( MSAF). MSAF occurs in approximately 10℅ to 20℅ of all deliveries and increases to over 30℅ in deliveries after 42 weeks gestation. Meconium aspiration syndrome ( MAS) occurs in about 2℅ to 5℅ of these cases with a high mortality rate. Although it is generally agreed that meconium staining of the amniotic fluid is associated with increased perinatal mortality and morbidity, the benefits of routine delivery- room intubation of the meconium- stained newborn have recently been questioned. Until well-designed prospective investigations are performed, reasonable guidelines to follow are those established by a joint committee of the American Academy of pediatrics( SAP) and the American Heart Association ( AHA) in 1992. Following obstetric oropharyngeal suctioning, the committee recommended that intratracheal suctioning be performed on all meconium- stained babies if (1) there is evidence of fetal in utero distress ( for example, abnormal electric fetal monitoring), (2) the neonate is depressed or requires positive pressure ventilation in the delivery room,(3) the meconium is thick or particulate in nature( this includes " moderately- thick" meconium), or(4) if obstetric pharyngeal suctioning was not performed at all. The remaining meconium- stained babies may not need intratracheal suction should there be thin- consistency MSAF , if the obstetrician has adequately suctioned the pharynx, and if the infant is vigorous.https://jkmu.kmu.ac.ir/article_38726_2eaa112116b3c690e12708a9610a2120.pdfair leak syndromefatal hypoxiaintrapartum oropharyngeal suctioningmeconium- stained amniotic fluidpersistent pulmonary hypertension of the newborn |
| spellingShingle | P Nik-Nafs Meconium aspiration syndrome in neonates Journal of Kerman University of Medical Sciences air leak syndrome fatal hypoxia intrapartum oropharyngeal suctioning meconium- stained amniotic fluid persistent pulmonary hypertension of the newborn |
| title | Meconium aspiration syndrome in neonates |
| title_full | Meconium aspiration syndrome in neonates |
| title_fullStr | Meconium aspiration syndrome in neonates |
| title_full_unstemmed | Meconium aspiration syndrome in neonates |
| title_short | Meconium aspiration syndrome in neonates |
| title_sort | meconium aspiration syndrome in neonates |
| topic | air leak syndrome fatal hypoxia intrapartum oropharyngeal suctioning meconium- stained amniotic fluid persistent pulmonary hypertension of the newborn |
| url | https://jkmu.kmu.ac.ir/article_38726_2eaa112116b3c690e12708a9610a2120.pdf |
| work_keys_str_mv | AT pniknafs meconiumaspirationsyndromeinneonates |