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https://pediatrics.aappublications.org/content/142/6/e20181485
Dec 01, 2018 · Delivery Room Management of Meconium-Stained Newborns and Respiratory Support. Arpitha Chiruvolu, Kimberly K. Miklis, Elena Chen, Barbara Petrey and Sujata Desai. ... Revisiting the Latest NRP Guidelines for Meconium: Searching for Clarity in a Murky Situation.Author: Arpitha Chiruvolu, Arpitha Chiruvolu, Kimberly K. Miklis, Kimberly K. Miklis, Elena Chen, Barbara Pe...
https://www.nice.org.uk/guidance/cg190/ifp/chapter/If-there-is-meconium-during-labour
Feb 01, 2017 · Meconium is the baby's poo, and is sometimes found in the amniotic fluid ('waters') during labour. If the fluid contains thick meconium or lumps, your midwife will advise that you are transferred to an obstetric unit for the birth if you are not already there.
https://www.rchsd.org/health-articles/meconium-aspiration/
Current guidelines say that if a newborn has inhaled meconium but is active, looks well, and has a strong heartbeat (>100 bpm), the delivery team can watch the baby for MAS symptoms (such as increased respiratory rate, grunting, or cyanosis), which usually appear within the first 24 hours.
https://www.acog.org/en/Clinical/Clinical%20Guidance/Committee%20Opinion/Articles/2017/03/Delivery%20of%20a%20Newborn%20With%20Meconium-Stained%20Amniotic%20Fluid
ABSTRACT: In 2006, the American Academy of Pediatrics and the American Heart Association published the 2005 guidelines on neonatal resuscitation. Before the 2005 guidelines, management of a newborn with meconium-stained amniotic fluid included suctioning of the oropharynx and nasopharynx on the perineum after the delivery of the head but before the delivery of the shoulders.
https://rmcinc.org/coding-qa-with-rmc-meconium-staining-vs-passage/
Sep 12, 2018 · “staining” indicates a more long-term significant problem. P03.82- is actually meconium passage during delivery. There is an excludes 1 note- you should not report meconium passage with meconium staining unless documentation supports that infant had staining and also passed meconium during delivery.
https://downloads.aap.org/DOICH/NRP%20Instructor%20Update%20Spring_Summer%202019.pdf
The 2015 guidelines removed the recommendation to routinely suction the trachea of non-vigorous babies born through meconium-stained amniotic fluid (MSAF). These guidelines were implemented before or beginning in January 2017. In November 2018, Pediatrics® published an article titled “Delivery Room Management of Meconium-Stained NewbornsFile Size: 2MB
https://www.ncbi.nlm.nih.gov/books/NBK542240/
Babies born through a meconium-stained amniotic fluid are at higher risk of development of adverse events such as perinatal asphyxia and respiratory distress. The accidental inhalation of meconium in-utero or during delivery can result in an adverse event for the infant, which is known as meconium aspiration syndrome.
https://www.royalberkshire.nhs.uk/Downloads/GPs/GP%20protocols%20and%20guidelines/Maternity%20Guidelines%20and%20Policies/Intrapartum/Meconium_stained_liquor_V5.0_GL877.pdf
Maternity Guidelines – Meconium Stained Liquor (GL877) November 2017 ... Babies with any meconium-stained liquor present at delivery are required to have observations at 1 and 2 hours of age. Those with significant meconium will require additional observations 2 hourly for 12 hours.File Size: 174KB
https://www.aap.org/en-us/Documents/nrp_newsletter_2015_fallwinter.pdf
2 In This Issue 1 Summary of the Revised Neonatal Resuscitation Guidelines 2 In This Issue/Acknowledgements 3 7th Edition Instructor Course: Modeling an Expert NRP Provider Course 4 Premature Anne Fills the Gap for NRP Simulation-based Education 7 7th Edition NRP Provider Status Requires All 11 Lessons 8 HealthStream’s New Look 12 2016 NRP Research Grant andFile Size: 1MB
https://medlineplus.gov/ency/article/001596.htm
Meconium aspiration syndrome (MAS) refers to breathing problems that a newborn baby may have when: There are no other causes, and; The baby has passed meconium (stool) into the amniotic fluid during labor or delivery
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