Incidence of meconium aspiration syndrome in term meconium-stained babies managed at birth with selective tracheal intubation
-
R. Manganaro
Abstract
The delivery room management of infants born through meconium stained amniotic fluid (MSAF) remains controversial. The aim of this prospective study was to evaluate maternal and neonatal characteristics of MSAF infants and the incidence of meconium aspiration syndrome (MAS) in routine delivery room management which reserved selective intubation for depressed/asphyxiated babies.
Between October 1993 and September 1997, a consecutive sample of 3745 full-term infants was analyzed. Of these, 361 were MSAF infants. No significant difference in maternal age, parity, gestational age, sex, low 1 and 5 minute Apgar scores, metabolic acidemia, or need for endotracheal intubation was found between MSAF and non-MSAF infants. Only one of the MSAF infants (0.28%), who needed intubation, developed MAS.
Identification of postterm pregnancy and prenatal asphyxia is the best prevention of MAS.
Copyright © 2001 by Walter de Gruyter GmbH & Co. KG
Articles in the same Issue
- Author Index
- Subject Index
- Contents
- Fetal and maternal energy metabolism during labor in relation to the available caloric substrate
- Incidence of meconium aspiration syndrome in term meconium-stained babies managed at birth with selective tracheal intubation
- Predicting preterm delivery and lowering very preterm delivery rate
- Comparative effects of chronic exposure to glucose or sodium butyrate on surfactant development in fetal rabbits
- Eigenvector based spatial filtering of fetal biomagnetic signals
- Localization and quantification of adhesion molecule expression in the lower uterine segment during premature labor
- Is intrapartum vibroacoustic stimulation an effective predictor of fetal acidosis?
- Plasma adrenomedullin levels in pregnancies with appropriate for gestational age and small for gestational age infants
- Tissue concentrations of cytokines in the lower uterine segment during preterm parturition
- Effect of labor on maternal dehydration, starvation, coagulation, and fibrinolysis
- Changes in light-induced fluorescence of cervical collagen in guinea pigs during gestation and after sodium nitroprusside treatment
- Cardiotocography or Doppler in making delivery decision?
- Book review
- Congress Calendar
Articles in the same Issue
- Author Index
- Subject Index
- Contents
- Fetal and maternal energy metabolism during labor in relation to the available caloric substrate
- Incidence of meconium aspiration syndrome in term meconium-stained babies managed at birth with selective tracheal intubation
- Predicting preterm delivery and lowering very preterm delivery rate
- Comparative effects of chronic exposure to glucose or sodium butyrate on surfactant development in fetal rabbits
- Eigenvector based spatial filtering of fetal biomagnetic signals
- Localization and quantification of adhesion molecule expression in the lower uterine segment during premature labor
- Is intrapartum vibroacoustic stimulation an effective predictor of fetal acidosis?
- Plasma adrenomedullin levels in pregnancies with appropriate for gestational age and small for gestational age infants
- Tissue concentrations of cytokines in the lower uterine segment during preterm parturition
- Effect of labor on maternal dehydration, starvation, coagulation, and fibrinolysis
- Changes in light-induced fluorescence of cervical collagen in guinea pigs during gestation and after sodium nitroprusside treatment
- Cardiotocography or Doppler in making delivery decision?
- Book review
- Congress Calendar
