Evidence · Research paper
Have the 2015 Neonatal Resuscitation Program Guidelines changed the management and outcome of infants born through meconium-stained amniotic fluid?
- Delivery room and stabilisation
- Meconium aspiration
- Medical
- Newborn life support
- Nursing
- Respiratory
This paper is from 2019, more than five years ago. Newer evidence may have been published since.
Summary
Single-centre retrospective cohort study from King Abdul-Aziz University Hospital comparing term infants born through meconium-stained amniotic fluid before and after implementation of the 2015 Neonatal Resuscitation Program guidelines, which removed routine intubation and tracheal suction for nonvigorous infants. Among 420 infants, fewer were intubated at birth after implementation. Rates of NICU admission, meconium aspiration syndrome and mortality did not differ significantly. Limitations include retrospective design and possible early adoption of the new practice by some staff.
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- Open (Creative Commons)
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