Document Detail

Delivery room management of meconium staining of the amniotic fluid and the development of meconium aspiration syndrome.
MedLine Citation:
PMID:  3193263     Owner:  NLM     Status:  MEDLINE    
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.
J R Hageman; M Conley; K Francis; J Stenske; I Wolf; V Santi; E E Farrell
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
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:
Created Date:  1989-01-10     Completed Date:  1989-01-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  127-31     Citation Subset:  IM    
Department of Pediatrics, Evanston Hospital, IL 60201.
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MeSH Terms
Amniotic Fluid*
Delivery, Obstetric / methods*
Infant, Newborn
Intubation, Intratracheal*
Meconium Aspiration Syndrome / etiology,  prevention & control*
Prospective Studies
Suction / methods*
Vocal Cords

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