| Delivery room management of meconium staining of the amniotic fluid and the development of meconium aspiration syndrome. | |
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MedLine Citation:
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PMID: 3193263 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 1-year prospective survey of obstetric and pediatric management of meconium staining of the amniotic fluid in 464 patients was undertaken. Pharyngeal suctioning before delivery was performed using bulb syringe (N = 130), De Lee suction catheter (N = 186), or both (N = 98); endotracheal intubation after delivery was also done in 413 instances. Using any of the three suctioning techniques, no differences were seen in Apgar scores, respiratory rates, presence or absence of meconium on or below the vocal cords, or development of meconium aspiration syndrome (MAS). If meconium was present on the vocal cords, it was present below the vocal cords in 76% of the cases. If no meconium was visualized, it was found below the vocal cords in only 7% of the cases. Of the 142 infants with meconium below the vocal cords, 10% developed MAS and all 14 survived. |
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Authors:
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J R Hageman; M Conley; K Francis; J Stenske; I Wolf; V Santi; E E Farrell |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of perinatology : official journal of the California Perinatal Association Volume: 8 ISSN: 0743-8346 ISO Abbreviation: J Perinatol Publication Date: 1988 |
Date Detail:
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Created Date: 1989-01-10 Completed Date: 1989-01-10 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8501884 Medline TA: J Perinatol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 127-31 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, Evanston Hospital, IL 60201. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Amniotic Fluid* Delivery, Obstetric / methods* Female Humans Infant, Newborn Intubation, Intratracheal* Male Meconium* Meconium Aspiration Syndrome / etiology, prevention & control* Prospective Studies Suction / methods* Syndrome Vocal Cords |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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