title: Role of gastric lavage in vigorous neonates born with meconium stained amniotic fluid.
abstract: OBJECTIVE
  To compare reduction in incidence of feed intolerance in neonates born with meconium stained amniotic fluid (MSAF) by use of gastric lavage to those who did not receive lavage.
  
  
  METHODS
  This Randomized controlled trial was conducted in all vigorous newborns delivered through MSAF, with birth weight ≥1800 g and gestation ≥34 wk. In the lavage group, gastric lavage with 10 ml/kg of normal saline was done.
  
  
  RESULTS
  Twelve neonates in the lavage group (n = 124) developed feed intolerance compared to 16 neonates in control group (n = 120), (p = .309; OR 0.69; 95%CI 0.27-1.58). No difference in any other morbidity was noted.
  
  
  CONCLUSIONS
  Gastric lavage in neonates with MSAF does not reduce feed intolerance, irrespective of thickness of MSAF and it confers no advantages.
authors.affiliation: Department of Pediatrics, LLRM Medical College, Meerut 250102, India.
authors.forename: Gaurav
authors.initials: G
authors.lastname: Ameta
authors.forename: Amit
authors.initials: A
authors.lastname: Upadhyay
authors.forename: Sunil
authors.initials: S
authors.lastname: Gothwal
authors.forename: Kuldeep
authors.initials: K
authors.lastname: Singh
authors.forename: Kirti
authors.initials: K
authors.lastname: Dubey
authors.forename: Abhilasha
authors.initials: A
authors.lastname: Gupta
mesh_terms: D000653:Amniotic Fluid; D005260:Female; D005751:Gastric Lavage; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008470:Meconium; D009325:Nausea / Q000209:etiology / Q000517:prevention & control*; D016896:Treatment Outcome; D014839:Vomiting / Q000209:etiology / Q000517:prevention & control*