Intrapartum and postdelivery management of infants born to mothers with meconium-stained amniotic fluid: evidence-based recommendations.
The article reviews and critically evaluates the available evidence to determine whether the current recommendations for the management of infants born through meconium stained amniotic fluid (MSAF) should be maintained. Authors provide evidence-based recommendations regarding the benefits of amnioinfusion prior to delivery, oral suctioning of the newborn prior to delivery of the shoulder, and the practice of routine endotracheal suctioning of the newborn born through MSAF in preventing meconium aspiration syndrome (MAS). Authors also discuss the gaps in knowledge in all the above interventions to prevent MAS.
Velaphi
Sithembiso
S
Department of Paediatrics, University of the Witwatersrand, Edenglen Edenvale, 1609 Johannesburg, South Africa.
Vidyasagar
Dharmapuri
D
D000650:Amnion; D000653:Amniotic Fluid; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007263:Infusions, Parenteral; D007442:Intubation, Intratracheal; D008470:Meconium; D008471:Meconium Aspiration Syndrome / Q000503:physiopathology / Q000517:prevention & control*; D049590:Postpartum Period; D011247:Pregnancy; D012965:Sodium Chloride / Q000008:administration & dosage; D013396:Suction
D012965:Sodium Chloride