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Meconium Aspiration

Kylie Kosakowski, Lindsay Gordon, Krysten Lintner & Samantha Loney
by

Samantha Loney

on 19 March 2013

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Transcript of Meconium Aspiration

Kylie Kosakowski, Lindsay Gordon, Krysten Lintner & Samantha Loney
March 19, 2013
Durham College
Perinatal/Obstetrics II
Angela King, RN Meconium Aspiration Meconium Aspiration Meconium is a sticky black waste product
Part of fetal digestion
Fetus swallows amniotic fluid beginning in the 5th month
Sometimes a breech or hypoxic fetus passes meconium in the amniotic fluid =risk of aspiration Amniotic fluid will be green or brown stained
Thicker meconium is more detrimental if aspirated
Types include:
Light meconium staining
Moderate meconium staining
Heavy meconium staining
Passing of meconium is usually due to
stress or inadequate oxygen
Babies appear limp, gasp or grunt and score low on APGAR Signs & Symptoms Take note of liquor (colour and consistency of amniotic fluid)
Get appropriate equipment needed for possible resuscitation
Get appropriate assistance or give a heads up to:
NICU nurses
Respiratory therapy
At least 1 person capable of performing endotracheal intubation on baby
OB
Nurse to assist with possible resuscitation
Support parents Nursing Interventions reflex grasping movements draw meconium into the bronchial tree
Endotracheal intubation is needed is there are depressed respiration's, muscle tone or heart rate Meconium Aspiration Syndrome (MAS) Risks An estimated 10% of babies pass meconium

Extended labour
Complicated labour
Failure to progress
Post dates
Gestational diabetes
Cord prolapse
Complications of Aspiration Meconium aspiration syndrome
Pneumonitis
Testing
Blood gas analysis
X-Ray's
Results 1. Stabilize baby's head in sniffing position
2. Open baby's mouth and slide laryngoscope blade of right side of tongue and toward the midline pushing the tongue sideways. Advance to vallecula
3. Lift blade to move tongue out of the way
4. Look for landmarks like the epiglottis opening and vocal cords
5. Insert tube
6. Stablize the tube and remove laryngoscope, remove stylet
7. Connect tube to meconium aspirator
8. Suction no longer than 3-5 seconds Post Resuscitation Care Likely for baby to be in NICU
Antibiotics
Ventilator
Oxygen, Bronchodilators
Warmer
Extracoporeal membrane oxygenation (ECMO)
Usually outlook is good
Lack of oxygen can lead to brain damage
Meconium aspiration leads to permanent lung damage
Support for parents, education References Kopelman, A. (2009). Meconium aspiration syndrome. The Merck Manual Home Health Handbook. Retrieved from http://www.merckmanuals.com/home/index.html

McMillan, J. et al. (2006). Oski's Pediatrics. Lippincott Williams & Wilkins: Philadelpha

MedlinePlus: Meconium Aspiration Syndrome. Retirieved from http://www.nlm.nih.gov/medlineplus/ency/article/001596.htm

Ricci, S.S. et al. (2008). Maternity and Pediatric Nursing. Lippincott Williams & Wilkins: Philadelpha
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