[Meconium in the amniotic fluid: prevention of meconium aspiration and elective tracheal suction].
For many years early systematic intubation and tracheal suction have been advocated for meconium-stained infants. Recent data show that they do not reduce the frequency of pulmonary meconium aspiration and underline the importance of a preventive attitude (i.e., intrapartum oropharyngeal suction before shoulder clearing and thoracic compression before first breathing) together with a selective tracheal suction only in the newborns with obvious oropharyngeal meconial staining.
Service de pédiatrie, unité de réanimation néonatale et pédiatrique, hôpital Jean-Bernard, CHU, 86021 Poitiers, France.
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D000465:Algorithms; D000653:Amniotic Fluid; D003663:Decision Trees; D036861:Delivery, Obstetric / Q000379:methods; D006801:Humans; D007231:Infant, Newborn; D007442:Intubation, Intratracheal / Q000379:methods*; D008470:Meconium; D008471:Meconium Aspiration Syndrome / Q000209:etiology / Q000517:prevention & control*; D018743:Perinatal Care / Q000379:methods; D013396:Suction / Q000379:methods*