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  • 19 Meconium Aspiration

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    Yassboy Msd
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    This document outlines meconium aspiration syndrome, a condition where a newborn aspirates meconium-stained amniotic fluid after passing meconium in the womb, causing respiratory distress. Risk factors include post-term delivery and fetal distress. Clinical features include respiratory distress, cyanosis, and meconium-stained skin. Management involves suctioning meconium immediately after delivery if present, supportive care, and treatments depending on severity including oxygen, CPAP, ventilation, antibiotics, surfactant, and ECMO for severe cases.

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    Meconium aspiration

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    19_Meconium_Aspiration

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    This document outlines meconium aspiration syndrome, a condition where a newborn aspirates meconium-stained amniotic fluid after passing meconium in the womb, causing respiratory distress. Risk factors include post-term delivery and fetal distress. Clinical features include respiratory distress, cyanosis, and meconium-stained skin. Management involves suctioning meconium immediately after delivery if present, supportive care, and treatments depending on severity including oxygen, CPAP, ventilation, antibiotics, surfactant, and ECMO for severe cases.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    3 views1 page

    19 Meconium Aspiration

    Uploaded by

    Yassboy Msd
    This document outlines meconium aspiration syndrome, a condition where a newborn aspirates meconium-stained amniotic fluid after passing meconium in the womb, causing respiratory distress. Risk factors include post-term delivery and fetal distress. Clinical features include respiratory distress, cyanosis, and meconium-stained skin. Management involves suctioning meconium immediately after delivery if present, supportive care, and treatments depending on severity including oxygen, CPAP, ventilation, antibiotics, surfactant, and ECMO for severe cases.

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    © All Rights Reserved
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    SOP 19: NCU

    Meconium Aspiration Syndrome


    A condition in which a newborn aspirated meconium-stained amniotic fluid
    after passing meconium in-utero and develops respiratory distress

    Risk Factors Clinical Features


    - Post-term delivery - Onset: Immediately or a few hours after birth
    - Fetal distress - Respiratory distress
    - Perinatal asphyxia - Cyanosis/hypoxia
    - Maternal infection or - Meconium-stained skin/umbilical cord/nails
    morbidity e.g. - Pulmonary hypertension
    diabetes, hypertension - Signs of post-term delivery

    Management Investigations
    Evidence of meconium-stained amniotic fluid ✓ Continuous pulse
    AND floppy neonate, bradycardia, and/or oximetry
    apnoea? ✓ Chest x-ray
    Yes No
    ✓ ECG
    ✓ Blood gas analysis
    (metabolic acidosis?)
    Suction of meconium ✓ Septic work-up
    immediately after
    delivery
    Supportive Care
    Temperature
    regulation and
    Dry and stimulate the baby minimal handling

    Maintain Systolic
    Is the baby breathing? Blood Pressure >
    Pulmonary BP
    Yes No

    Adequate
    Resuscitate and stabilize sedation if on
    ventilator

    Options depending on severity of disease: ✓ Antibiotic therapy


    ✓ Oxygen therapy ✓ Surfactant therapy
    ✓ Consider CPAP or mechanical ventilation ✓ ECMO in severe cases

    WHO (2016) Surfactant for meconium aspiration syndrome in term and late preterm infants

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