MECONIUM ASPIRATION SYNDROME Flashcards
(12 cards)
dark greenish mass that accumulates in the bowel
during fetal life and is discharged shortly after birth
meconium
meconium is formed from accumulation of debris such as
- desquamated cells from the intestine and skin
- gastrointestinal mucin
- lanugo hair
- fatty material from the vernix caseosa
- amniotic fluid
- and intestinal secretions
a condition in which a newborn breathes a mixture of meconium and amniotic fluid into the lungs around the time of delivery
meconium aspiration syndrome
true or false - meconium aspiration tend to occur in extremely-low-birthweight infants
false
what grade
It is light meconium staining of amniotic fluid
In this liquor is slight greenish or yellowish tinge
It is usually not related to fetal distress and usually not causes meconium aspiration
syndrome (MAS)
grade 1
what grade
Heavy or Thick meconium stain liquor.
Liquor look like pea soup, thick green or black in color.
Thick meconium is a sign of fetal distress.
In this risk of MAS is very high.
grade 3
risk factors of MAS
- postterm
- breech
- hypoxia
- cord compression
- stress
- SGA/IUGR
- placental insufficiency
- preeclampsia
- GTHN, GDM
- oligo
clinical manifestations
- Tachypneic
- Retractions
- Cyanotic or pale
- Hypoxeic
- Expiratory grunting
- Nasal flaring
- Barrel chested
- Hypothermic
- Hypoglycemic
- Hypocalcemic
in severe cases of MAS
respiratory failure - distress with gasping, ineffective ventilation, cyanosis, pallor, hypotonia
Suction only the baby’s mouth and nose, using either a bulb syringe or a large bore suction catheter if the baby has:
- Strong respiratory efforts
- Good muscle tone
- Heart rate ≥ 100 beats/minute
➢Suction the trachea using an endotracheal tube connected to a meconium aspiration device and suction source to remove any meconium present before
many spontaneous respirations have occurred or assisted ventilation has been
initiated if the baby has:
- Depressed respirations
- Decreased muscle tone
- Heart rate ≤ 100 beats/minute
