Meconium aspiration

external

• Synonyms

  • Meconium Aspiration Syndrome
  • MAS

• Causes

  • Overdue pregnancy
  • Drug abuse

• Effects

  • Cyanosis
  • Neonatal respiratory distress
  • Meconium stained liquor
  • Green skin
  • Bradycardia
  • Low APGAR score
  • Hypercapnia
  • Patchy lung infiltrates
  • Pneumothorax
  • Neonatal hypoxia
  • Secondary pulmonary hypertension

• Parents

  • Complication of childbirth

• Treatments

  • Ventilatory support
  • Surfactant
  • Nitric oxide inhalation

• Description

  • "Meconium in amniotic fluid = 10% MAS Incidence: 1% at 37 weeks 25% at >42 weeks. Management Prevention :early identifcation of fetal sress. Prognosis: 80% discharged home 15% - neonatal intensive care 2% -extracorporeal membrane oxygenation.. Survival with ECMO = 94%. 3% -die Induction at >37 weeks' gestation reduces MAS. "