Meconium Aspiration Syndrome+Fetal Alcohol syndrome

Question 1

Risk for Meconium Aspiration
Syndrome

Answer 1

increase with infant’s gestational
age [ Term + post-term]

Question 2

• Clinical: Meconium Aspiration
  Syndrome

Answer 2

Green amniotic fluid - Respiratory distress within first hours
of life. - Tachypnoea, gasping , cyanotic in
severely affected infants

Question 3

Meconium Aspiration Syndrome prognosis

Answer 3

**The condition usually improves within 72 h. , however
sometimes it require assisted ventilation.

Severe affected neonates at high risk of mortality

Question 4

Meconium Aspiration Syndrome Complication

Answer 4

increase risk for PPH = persistent pulmonary
hypertension

Question 5

Meconium Aspiration Syndrome Management

Answer 5

• Aminofusion [isotonic saline
  umbilical cord compression ]
  to dilute meconium and prevent
• During delivery , after the head is delivered → suctioning oropharynx
  (not routinely done) before delivering the rest of the body
• After delivering the body → laryngoscopy (not routinely done)
• usually, the condition improves within 72h. but sometimes we need
  Endotracheal intubation

Question 6

Fetal Alcohol syndrome

Answer 6

• Smooth philtrum
• Thin upper lip
• Microcephaly

Question 7

ddx of green amniotic fluid

Answer 7

meconium aspiration syndrom
and chorioamniotis
differntiate by ECG
if abnormal;meconium AS ,
if normal
chorioamnionitis