The Epidemiology
of Meconium Aspiration Syndrome: Incidence, Risk Factors, Therapies, and Outcome
Rates of exposure to thick meconium did not differ among our study groups, nor did the rate
of meconium aspiration.
Two babies had meconium aspiration syndrome, another was thought to have aspirated clear amniotic fluid, and the fifth had evidence
of meconium aspiration although none was seen during labour.
Twenty six deaths (52 %) were associated with intrapartum asphyxia, including three cases of shoulder dystocia and one case
of meconium aspiration (table 1).
Not exact matches
The authors chose to evaluate the results by creating an index
of primary events comprising intrapartum stillbirths, early neonatal deaths, neonatal encephalopathy [brain damage]
meconium aspiration syndrome, brachial plexus injury, and fractured humerus or clavicle.
PHYSICIAN»S DEFENSE The newborn's breathing difficulties were due to
aspiration of meconium.
Cord prolapse, abruption,
meconium aspiration, an undetected congenital malformation... there is a long list
of potential catastrophes where life or death can be decided in a matter
of minutes.
Intrapartum stillbirths and early neonatal deaths accounted for 13 %
of events, neonatal encephalopathy for 46 %,
meconium aspiration syndrome for 30 %, brachial plexus injury for 8 %, and fractured humerus or clavicle for 4 % (see appendix 8 on bmj.com for distributions by planned place
of birth).
Subsequent evaluation revealed
meconium aspiration and catastrophic brain damage due to lack
of oxygen.
Main outcome measure A composite primary outcome
of perinatal mortality and intrapartum related neonatal morbidities (stillbirth after start
of care in labour, early neonatal death, neonatal encephalopathy,
meconium aspiration syndrome, brachial plexus injury, fractured humerus, or fractured clavicle) was used to compare outcomes by planned place
of birth at the start
of care in labour (at home, freestanding midwifery units, alongside midwifery units, and obstetric units).
The primary outcome was a composite
of perinatal mortality and specific neonatal morbidities: stillbirth after the start
of care in labour, early neonatal death, neonatal encephalopathy,
meconium aspiration syndrome, brachial plexus injury, fractured humerus, and fractured clavicle.13 This composite measure was designed to capture outcomes that may be related to the quality
of intrapartum care, including morbidities associated with intrapartum asphyxia and birth trauma.
Place
of birth and death for 26 infants dying from intrapartum asphyxia, including shoulder dystocia and
meconium aspiration
If your doctor notices stool in the amniotic fluid that your baby has inhaled, it may affect the airways
of your baby and cause
meconium aspiration syndrome (MAS).
What, EXACTLY is the biological mechanism whereby fear and tension causes any
of the following: Retained placenta Massive PPH Cord prolapse Shoulder dystocia Nuchal cord 4th degree tear
Meconium aspiration Chorioamnionitis
Meconium aspiration syndrome (they may choke on their own first bowel movements because
of a lessened amount
of amniotic fluid and increased amount
of bowel movements in utero)
It may not prevent
meconium aspiration (although a timely induction reduces the risk
of MAS.)
Rates
of perinatal mortality, 5 - minute Apgar scores,
meconium aspiration syndrome or need for transfer to a different hospital for specialized newborn care were very similar for the home birth group and for births in hospital attended by a physician.
«We found that babies exposed to opioids pain relievers were more likely to be born preterm, have complicated births, low birth weight and have complications such as
meconium aspiration syndrome (a sign
of infant distress at birth) and respiratory distress,» said lead author Stephen Patrick, M.D., MPH, assistant professor
of Pediatrics and Health Policy in the Division
of Neonatology with the Monroe Carell Jr..
These outcomes were perinatal mortality and a composite
of neonatal morbidity (defined as neonatal intensive care admission, sepsis,
meconium aspiration, necrotizing enterocolitis, respiratory distress syndrome or intraventricular hemorrhage).
HIE is the reduction
of oxygen supply to tissues and the brain due to inadequate blood flow and has symptoms like decelerated fetal heart rate, low Apgar Scores,
meconium aspiration pneumonia and stillbirths.
A common cause
of Cerebral Palsy is decreased oxygen to the brain as a result
of fetal distress, umbilical cord entrapment or
meconium aspiration.
While many children suffer
meconium aspiration at birth with few long - term effects, some will develop
meconium aspiration syndrome (MAS) as a result
of breathing in the waste products they excreted in the womb.