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- Title
A Delivery Room Approach to the Meconium Aspiration Syndrome (MAS).
- Authors
Fox, William W.; Gutsche, Brett B.; DeVore, Jay S.
- Abstract
This article reports that a significant cause of neonatal morbidity and mortality, the meconium aspiration syndrome is the result of perinatal stress induced by reflex evacuation of meconium, followed by aspiration of the meconium-containing amniotic fluid. Preventive and therapeutic approaches to the syndrome include fetal monitoring of the high risk pregnancy to detect possible asphyxia early; appropriate resuscitation in the delivery room; and intensive neonatal care implemented by chest physiotherapy, positive end-expiratory pressure and mechanical ventilation. For the past 15 years, laryngoscopy and incubation, and direct tracheal suctioning through the endotracheal tube promptly after birth have been recommended for newborns with meconium staining. Infants treated with this method have minimal morbidity and almost never succumb. Another method, with vertex presentations, is to suction the oral pharynx as soon as the head presents and before delivery is completed. Between January 1972 and August 1974, all newborn infants born with meconium-stained amniotic fluid at the Hospital of the University of Pennsylvania and observed in the Intensive Care Nursery were managed with the same delivery room protocol.
- Subjects
MECONIUM aspiration syndrome; FETAL diseases; NEONATAL diseases; PEDIATRIC respiratory diseases; AMNIOTIC fluid embolism; HIGH-risk pregnancy; PHYSICAL therapy; LARYNGOSCOPY
- Publication
Clinical Pediatrics, 1977, Vol 16, Issue 4, p325
- ISSN
0009-9228
- Publication type
Article
- DOI
10.1177/000992287701600405