Book section : Chapter
Delivery room management of the apparently vigorous meconium-stained neonate
- Abstract:
- Intubation and tracheal suctioning were standards of care for vigorous infants born through meconium-stained amniotic fluid (MSAF), based on observational reports. Wiswell et al. investigated the benefit and safety of immediate intubation and tracheal suctioning in a large, international trial. Routine suctioning of the vigorous infant born through MSAF was no better than expectant management in preventing meconium aspiration syndrome (MAS) (3.2% versus 2.7%, respectively) or other respiratory disorders (3.8% versus 4.5%). Abnormal fetal-heart rate monitoring, thickness of meconium, and low Apgar scores were independent predictors for the development of MAS. Intubation-related adverse events were rare and transient in both groups.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
Actions
Access Document
- Files:
-
-
(Preview, Accepted manuscript, pdf, 128.9KB, Terms of use)
-
- Publisher copy:
- 10.1093/med/9780197646953.003.0002
Authors
Contributors
+ Zupancic, J
- Role:
- Editor
+ Hay, S
- Role:
- Editor
+ Soll, RF
- Role:
- Editor
+ Schmidt, B
- Role:
- Editor
+ Kirpalani, H
- Role:
- Editor
- Publisher:
- Oxford University Press
- Host title:
- 50 Studies Every Neonatologist Should Know
- Pages:
- 9-14
- Chapter number:
- 2
- Series:
- Fifty Studies Every Doctor Should Know
- Place of publication:
- Oxford / New York
- Publication date:
- 2024-08-01
- Edition:
- 1
- DOI:
- EISBN:
- 9780197646984
- ISBN:
- 9780197646953
- Language:
-
English
- Keywords:
- Subtype:
-
Chapter
- Pubs id:
-
2092826
- Local pid:
-
pubs:2092826
- Deposit date:
-
2025-02-28
Terms of use
- Copyright holder:
- Oxford University Press
- Copyright date:
- 2024
- Rights statement:
- © Oxford University Press 2024.
- Notes:
- This is an excerpt from the accepted manuscript version of the chapter. The full-text final version is available online from Oxford University Press at https://doi.org/10.1093/med/9780197646953.003.0002
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