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a:5:{s:8:"template";s:46130:"<!DOCTYPE html>
<html lang="en">

   <head>
       <meta charset="UTF-8">
       <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1">
       <title>{{ keyword }}</title>
<link href="https://fonts.googleapis.com/css?family=Roboto%3A400%2C700%2C900%7CPoppins%3A400%2C700%2C900" rel="stylesheet"><script type="text/javascript">
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		<style type="text/css">
img.wp-smiley,
img.emoji {
	display: inline !important;
	border: none !important;
	box-shadow: none !important;
	height: 1em !important;
	width: 1em !important;
	margin: 0 .07em !important;
	vertical-align: -0.1em !important;
	background: none !important;
	padding: 0 !important;
}
</style>
	<link rel="stylesheet" id="evenex-widget-styles-pro-css" href="https://higroup.coding.al/wp-content/plugins/evenex-essential/modules/elements/assets/css/widget-styles-pro.css?ver=1.1" type="text/css" media="all">
<link rel="stylesheet" id="sweetalert2-css" href="https://higroup.coding.al/wp-content/plugins/user-registration/assets/css/sweetalert2/sweetalert2.min.css?ver=8.17.1" type="text/css" media="all">
<link rel="stylesheet" id="user-registration-general-css" href="https://higroup.coding.al/wp-content/plugins/user-registration/assets/css/user-registration.css?ver=1.9.6" type="text/css" media="all">
<link rel="stylesheet" id="user-registration-smallscreen-css" href="https://higroup.coding.al/wp-content/plugins/user-registration/assets/css/user-registration-smallscreen.css?ver=1.9.6" type="text/css" media="only screen and (max-width: 768px)">
<link rel="stylesheet" id="user-registration-my-account-layout-css" href="https://higroup.coding.al/wp-content/plugins/user-registration/assets/css/my-account-layout.css?ver=1.9.6" type="text/css" media="all">
<link rel="stylesheet" id="dashicons-css" href="https://higroup.coding.al/wp-includes/css/dashicons.min.css?ver=5.8.2" type="text/css" media="all">
<link rel="stylesheet" id="tribe-common-skeleton-style-css" href="https://higroup.coding.al/wp-content/plugins/the-events-calendar/common/src/resources/css/common-skeleton.min.css?ver=4.13.0.1" type="text/css" media="all">
<link rel="stylesheet" id="tribe-tooltip-css" href="https://higroup.coding.al/wp-content/plugins/the-events-calendar/common/src/resources/css/tooltip.min.css?ver=4.13.0.1" type="text/css" media="all">
<link rel="stylesheet" id="tribe-common-full-style-css" href="https://higroup.coding.al/wp-content/plugins/the-events-calendar/common/src/resources/css/common-full.min.css?ver=4.13.0.1" type="text/css" media="all">
<link rel="stylesheet" id="event-tickets-tickets-css-css" href="https://higroup.coding.al/wp-content/plugins/event-tickets/src/resources/css/tickets-v1.min.css?ver=5.1.2.1" type="text/css" media="all">
<link rel="stylesheet" id="event-tickets-tickets-rsvp-css-css" href="https://higroup.coding.al/wp-content/plugins/event-tickets/src/resources/css/rsvp-v1.min.css?ver=5.1.2.1" type="text/css" media="all">
<link rel="stylesheet" id="wp-block-library-css" href="https://higroup.coding.al/wp-includes/css/dist/block-library/style.min.css?ver=5.8.2" type="text/css" media="all">
<style id="wp-block-library-theme-inline-css" type="text/css">
#start-resizable-editor-section{display:none}.wp-block-audio figcaption{color:#555;font-size:13px;text-align:center}.is-dark-theme .wp-block-audio figcaption{color:hsla(0,0%,100%,.65)}.wp-block-code{font-family:Menlo,Consolas,monaco,monospace;color:#1e1e1e;padding:.8em 1em;border:1px solid #ddd;border-radius:4px}.wp-block-embed figcaption{color:#555;font-size:13px;text-align:center}.is-dark-theme .wp-block-embed figcaption{color:hsla(0,0%,100%,.65)}.blocks-gallery-caption{color:#555;font-size:13px;text-align:center}.is-dark-theme .blocks-gallery-caption{color:hsla(0,0%,100%,.65)}.wp-block-image figcaption{color:#555;font-size:13px;text-align:center}.is-dark-theme .wp-block-image figcaption{color:hsla(0,0%,100%,.65)}.wp-block-pullquote{border-top:4px solid;border-bottom:4px solid;margin-bottom:1.75em;color:currentColor}.wp-block-pullquote__citation,.wp-block-pullquote cite,.wp-block-pullquote footer{color:currentColor;text-transform:uppercase;font-size:.8125em;font-style:normal}.wp-block-quote{border-left:.25em solid;margin:0 0 1.75em;padding-left:1em}.wp-block-quote cite,.wp-block-quote footer{color:currentColor;font-size:.8125em;position:relative;font-style:normal}.wp-block-quote.has-text-align-right{border-left:none;border-right:.25em solid;padding-left:0;padding-right:1em}.wp-block-quote.has-text-align-center{border:none;padding-left:0}.wp-block-quote.is-large,.wp-block-quote.is-style-large{border:none}.wp-block-search .wp-block-search__label{font-weight:700}.wp-block-group.has-background{padding:1.25em 2.375em;margin-top:0;margin-bottom:0}.wp-block-separator{border:none;border-bottom:2px solid;margin-left:auto;margin-right:auto;opacity:.4}.wp-block-separator:not(.is-style-wide):not(.is-style-dots){width:100px}.wp-block-separator.has-background:not(.is-style-dots){border-bottom:none;height:1px}.wp-block-separator.has-background:not(.is-style-wide):not(.is-style-dots){height:2px}.wp-block-table thead{border-bottom:3px solid}.wp-block-table tfoot{border-top:3px solid}.wp-block-table td,.wp-block-table th{padding:.5em;border:1px solid;word-break:normal}.wp-block-table figcaption{color:#555;font-size:13px;text-align:center}.is-dark-theme .wp-block-table figcaption{color:hsla(0,0%,100%,.65)}.wp-block-video figcaption{color:#555;font-size:13px;text-align:center}.is-dark-theme .wp-block-video figcaption{color:hsla(0,0%,100%,.65)}.wp-block-template-part.has-background{padding:1.25em 2.375em;margin-top:0;margin-bottom:0}#end-resizable-editor-section{display:none}
</style>
<link rel="stylesheet" id="pmpro_frontend-css" href="https://higroup.coding.al/wp-content/plugins/paid-memberships-pro/css/frontend.css?ver=2.5.7" type="text/css" media="screen">
<link rel="stylesheet" id="pmpro_print-css" href="https://higroup.coding.al/wp-content/plugins/paid-memberships-pro/css/print.css?ver=2.5.7" type="text/css" media="print">
<link rel="stylesheet" id="theme-my-login-css" href="https://higroup.coding.al/wp-content/plugins/theme-my-login/assets/styles/theme-my-login.min.css?ver=7.1.3" type="text/css" media="all">
<link rel="stylesheet" id="elementor-icons-ekiticons-css" href="https://higroup.coding.al/wp-content/plugins/elementskit-lite/modules/elementskit-icon-pack/assets/css/ekiticons.css?ver=2.5.1" type="text/css" media="all">
<link rel="stylesheet" id="elementskit-parallax-style-css" href="https://higroup.coding.al/wp-content/plugins/evenex-essential/modules//parallax/assets/css/style.css?ver=1.5.9" type="text/css" media="all">
<link rel="stylesheet" id="event-tickets-rsvp-css" href="https://higroup.coding.al/wp-content/plugins/event-tickets/src/resources/css/rsvp.min.css?ver=5.1.2.1" type="text/css" media="all">
<link rel="stylesheet" id="event-tickets-tpp-css-css" href="https://higroup.coding.al/wp-content/plugins/event-tickets/src/resources/css/tpp.min.css?ver=5.1.2.1" type="text/css" media="all">
<link rel="stylesheet" id="fonts-css" href="https://fonts.googleapis.com/css?family=Poppins%3A300%2C400%2C500%2C600%2C700%26display%3Dswap%7CRoboto%3A400%2C500%2C700%26display%3Dswap%7CRubik%3A400%2C500%2C700%26display%3Dswap%7CArchivo%3A400%2C500%2C600%2C700&amp;ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="bootstrap-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/bootstrap.min.css?ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="fontawesome-min-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/fontawesome.min.css?ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="select2-css" href="https://higroup.coding.al/wp-content/plugins/user-registration/assets/css/select2.css?ver=1.9.6" type="text/css" media="all">
<link rel="stylesheet" id="evenex-image-choose-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/image-choose-control.css?ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="evenex-icon-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/iconfont.css?ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="xs-grid-line-animation-css-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/grid-line-parallax.css?ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="evenex-blog-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/blog.css?ver=1.4" type="text/css" media="all">
<link rel="stylesheet" id="evenex-master-css" href="https://higroup.coding.al/wp-content/themes/evenex/assets/css/master.css?ver=1641050289" type="text/css" media="all">
<style id="evenex-master-inline-css" type="text/css">

      h1{
         font-family: Poppins, sans-serif;color:#101010;font-size:36px;
      }
      h2,
      .post .entry-header .entry-title,
      .search .page .entry-header .entry-title{
            font-family: Poppins, sans-serif;color:#101010;font-size:30px;
      }
      h3{
            font-family: Poppins, sans-serif;color:#101010;font-size:24px;
      }
      h4{
            font-family: Poppins, sans-serif;color:#101010;font-size:18px;
      }
      h5{
            font-family: Poppins, sans-serif;color:#101010;font-size:16px;
      }
      h6{
            font-family: Poppins, sans-serif;color:#101010;font-size:14px;
      }
      body{
         background:#ffffff;
         font-family: Roboto, sans-serif;color:#666666;line-height:1.625;font-size:16px;
      }
      .logo-area .site-title a , .logo-area .site-desc{
         color:#ec962d;
      }

      .post .entry-header .entry-title a:hover,
      .sidebar ul li a:hover, .xs-footer-section ul li a:hover,
      .post-meta a:hover,
      .header .navbar-light .navbar-nav li a:hover {
         color:  #ec962d;
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      .tag-lists a:hover, .tagcloud a:hover,
      .sticky.post .meta-featured-post,
      .widget-title:before,
      .xs-custom-widget > h5:before,
      .block-title.title-border .title-bg,
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      .header .navbar-light .navbar-nav>li.active>a:before,
      .main-slider .owl-prev.disabled,
      .owl-dots:before,
      .featured-tab-item .nav-tabs .nav-link.active:before,
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      .ts-footer .widget-title:before,
      .main-slider .owl-next:hover, .main-slider .owl-prev:hover,
      .sidebar .widget.widget_search .input-group-btn, .xs-footer-section .widget.widget_search .input-group-btn,
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      .banner-solid,
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      .wp-block-button:not(.is-style-outline) .wp-block-button__link,
      .wp-block-button .wp-block-button__link:not(.has-background),
      .wp-block-file .wp-block-file__button,
      .back_to_top > a,
      .post .meta-featured-post::after {
         background:#ec962d;
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      .post .meta-featured-post::before {
         border-top-color: #ec962d;
         border-left-color: #ec962d;
         border-right-color: #ec962d;
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      .xs-search-group .search-button:hover,
      .pagination li.active a:hover,
      .wp-block-button:not(.is-style-outline) .wp-block-button__link:hover,
      .wp-block-file .wp-block-file__button:hover {
         background:#ff7c49;
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      .header-btn {
         background: linear-gradient(90deg,#ec962d 0,#ff7c49 100%);
      }
      .header-btn::before {
         box-shadow: 0 15px 25px 0 #ec962d;
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      .is-style-outline .wp-block-button__link:hover,
      .wp-block-button.is-style-outline .wp-block-button__link:active:not(.has-text-color):hover,
      .wp-block-button.is-style-outline .wp-block-button__link:focus:not(.has-text-color):hover,
      .wp-block-button.is-style-outline .wp-block-button__link:not(.has-text-color):hover,
      .breadcrumb>li a:hover {
         color: #ff7c49;
      }
      .wp-block-button.is-style-outline .wp-block-button__link:active:not(.has-text-color),
      .wp-block-button.is-style-outline .wp-block-button__link:focus:not(.has-text-color),
      .wp-block-button.is-style-outline .wp-block-button__link:not(.has-text-color),
      .navbar-nav .nav-link:hover,
      .dropdown-item.active,
      .dropdown-item:active,
      .navbar-nav .dropdown-menu li:hover>a,
      .xs-recent-post-widget .widget-post .entry-title>a:hover {
         color: #ec962d;
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      .tag-lists a:hover, .tagcloud a:hover,
      .owl-theme .owl-dots .owl-dot.active span{
         border-color: #ec962d;
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      .block-title.title-border .title-bg::after{
         border-left-color: #ec962d;
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      .block-title.title-border{
         border-bottom-color: #ec962d;
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      .topbar .top-nav li a:hover,
      .comments-list .comment-author a:hover,
      .comments-list .comment-reply-link:hover,
      .post-title a:hover,
      .copyright-area a:hover,
      .ts-footer .widget ul li a:hover,
      .featured-tab-item .nav-tabs .nav-link.active .tab-head>span.tab-text-title,
      .social-links li a:hover,
      .comment-author cite a:hover {
         color:#ec962d;
      }
      .xs-footer-section{
         background-color:   #FFF;
      }
      .btn-primary {
         background: linear-gradient(90deg, #ec962d 0, #ff7c49 100%);
      }
      .sidebar .widget .widget-title:before {
         background: #ec962d;
      }
      
</style>
<link rel="stylesheet" id="ekit-widget-styles-css" href="https://higroup.coding.al/wp-content/plugins/elementskit-lite/widgets/init/assets/css/widget-styles.css?ver=2.5.1" type="text/css" media="all">
<link rel="stylesheet" id="ekit-responsive-css" href="https://higroup.coding.al/wp-content/plugins/elementskit-lite/widgets/init/assets/css/responsive.css?ver=2.5.1" type="text/css" media="all">
<script type="text/javascript" src="https://higroup.coding.al/wp-includes/js/jquery/jquery.min.js?ver=3.6.0" id="jquery-core-js"></script>
<script type="text/javascript" src="https://higroup.coding.al/wp-includes/js/jquery/jquery-migrate.min.js?ver=3.3.2" id="jquery-migrate-js"></script>
<script src="https://higroup.coding.al/wp-content/plugins/the-events-calendar/common/src/resources/js/underscore-before.js"></script>
<script type="text/javascript" src="https://higroup.coding.al/wp-includes/js/underscore.min.js?ver=1.13.1" id="underscore-js"></script>
<script src="https://higroup.coding.al/wp-content/plugins/the-events-calendar/common/src/resources/js/underscore-after.js"></script>
<script type="text/javascript" src="https://higroup.coding.al/wp-includes/js/wp-util.js?ver=5.8.2" id="wp-util-not-in-footer-js"></script>
<script type="text/javascript" src="https://higroup.coding.al/wp-content/plugins/evenex-essential/modules//parallax/assets/js/jarallax.js?ver=1.5.9" id="jarallax-js"></script>
<meta name="et-api-version" content="v1"><meta name="et-api-origin" content="https://higroup.coding.al"><link rel="https://theeventscalendar.com/" href="https://higroup.coding.al/index.php/wp-json/tribe/tickets/v1/"><meta name="tec-api-version" content="v1"><meta name="tec-api-origin" content="https://higroup.coding.al"><link rel="https://theeventscalendar.com/" href="https://higroup.coding.al/index.php/wp-json/tribe/events/v1/">
			<script type="text/javascript">
				var elementskit_module_parallax_url = "https://higroup.coding.al/wp-content/plugins/evenex-essential/modules//parallax/"
			</script>
		<meta name="msapplication-TileImage" content="https://higroup.coding.al/wp-content/uploads/2021/04/cropped-Bag-page-001-270x270.jpg">
		<style type="text/css" id="wp-custom-css">
			

.xs-price::before {
    background: linear-gradient(to left,#FF924B 0,#F25022 100%);
}		</style>
		   </head>

<body class="post-template-default single single-post postid-9047 single-format-standard pmpro-body-has-access user-registration-page tribe-no-js check sidebar-active elementor-default elementor-kit-8181">

<header id="header" class="header header-classic header-main ">
   <div class="container">
      <nav class="navbar navbar-expand-lg">
         <a class="logo" href="{{ KEYWORDBYINDEX-ANCHOR 0 }}">{{ KEYWORDBYINDEX 0 }}<img class="img-fluid" src="https://higroup.coding.al/wp-content/uploads/2021/04/New-Project-4.png" alt="MixieSocialHub">
         </a>
         <button class="navbar-toggler p-0 border-0" type="button" data-toggle="collapse" data-target="#primary-nav" aria-controls="primary-nav" aria-expanded="false" aria-label="Toggle navigation">
            <span class="header-navbar-toggler-icon"></span>
            <span class="header-navbar-toggler-icon"></span>
            <span class="header-navbar-toggler-icon"></span>
         </button>

         

	<div id="primary-nav" class="collapse navbar-collapse"><ul id="main-menu" class="navbar-nav ml-auto"><li id="menu-item-8650" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-home menu-item-8650 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 1 }}" class="nav-link">{{ KEYWORDBYINDEX 1 }}</a></li>
<li id="menu-item-8928" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-8928 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 2 }}" class="nav-link">{{ KEYWORDBYINDEX 2 }}</a></li>
<li id="menu-item-8500" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-8500 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 3 }}" class="nav-link">{{ KEYWORDBYINDEX 3 }}</a></li>
<li id="menu-item-8219" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-8219 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 4 }}" class="nav-link">{{ KEYWORDBYINDEX 4 }}</a></li>
<li id="menu-item-8169" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-8169 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 5 }}" class="nav-link">{{ KEYWORDBYINDEX 5 }}</a></li>
<li id="menu-item-8170" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-8170 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 6 }}" class="nav-link">{{ KEYWORDBYINDEX 6 }}</a></li>
<li id="menu-item-8168" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-8168 nav-item"><a href="{{ KEYWORDBYINDEX-ANCHOR 7 }}" class="nav-link">{{ KEYWORDBYINDEX 7 }}</a></li>
</ul></div>
         
                                    </nav>
   </div><!-- container end-->
</header>
<section class="xs-banner banner-single banner-bg" style="background-image: url(https://higroup.coding.al/wp-content/themes/evenex/assets/images/banner/bg_banner.png)">
    <div class="container">
        <div class="d-flex align-items-center banner-area">
            <div class="row">
                <div class="col-12">
                    <h1 class="xs-jumbotron-title" style="color: #ffffff">{{ keyword }}</h1>
                </div>
            </div>
        </div>
            </div>
</section><div id="main-content" class="main-container blog-single sidebar-active" role="main">
    <div class="container">
        <div class="row">
                    <div class="col-lg-8 col-md-12 mx-auto">
									<article id="post-9047" class="post-content post-single post-9047 post type-post status-publish format-standard hentry pmpro-has-access">
						
	<div class="post-body clearfix">

		<!-- Article header -->
		<header class="entry-header clearfix">
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</html>";s:4:"text";s:34419:" [8-10] If such condition is severe or untreatable, it is very fatal for the infants. If a baby can&#x27;t get the proper amount of oxygen, it can possibly lead to a serious birth injury with life-threatening consequences. This lesson covers . Meconium aspiration syndrome occurs in a small proportion of neonates whose respiratory system is contaminated by the meconium and its content. Meconium does not usually develop before […]   It is a dark green fecal material that gets produced in the fetus&#x27; intestines before birth. This approach was used to reduce the confounding effect of gestational age on outcome and treatment.  Meconium aspiration syndrome treatment. About Meconium Aspiration.  Meconium-stained amniotic fluid occurs in approximately 15 percent of deliveries, causing meconium aspiration syndrome in the infant in 10 to 15 percent of those cases, typically in term and post .   Aspiration can also happen at any time when your child swallows saliva. Meconium aspiration syndrome (MAS) is defined as respiratory distress in an infant born through meconium-stained amniotic fluid (MSAF) with characteristic radiological changes and whose symptoms cannot be otherwise explained [].Because meconium is rarely found in the amniotic fluid prior to 34 weeks&#x27; gestation, MAS is often a disease of the term and near-term infant and is . The nurse caring for the infant after birth should anticipate: a. Meconium aspiration, hypoglycemia, and dry, cracked skin. A tough, extended labor and delivery may up the risk of passing meconium. Although it can be serious, most cases of MAS are not. Meconium aspiration syndrome (MAS) is defined as respiratory distress in the newborn due to the presence of meconium in the trachea. Meconium aspiration syndrome (MAS) happens when a newborn has trouble breathing because meconium got into the lungs. Meconium Aspiration.  The meconium aspiration syndrome (MAS) is often preventable, yet cases of MAS continue to occur. Meconium Aspiration Syndrome (MAS) is a potentially serious medical condition that affects newborn infants. Due to which meconium is trapped in the airways and lungs that causes suffocation during respiration.   Meconium aspiration syndrome occurs in approximately 2% of these deliveries (1). Meconium aspiration syndrome (MAS) occurs when a fetus or newborn breathes a mixture of amniotic fluid and meconium into the lungs while inside the uterus or during labor . Although meconium aspiration can occur prior to delivery even in the absence of labour, in many infants this condition could be prevented by appropriate suctioning at birth. One of the serious challenges facing neonatal medicine is meconium aspiration syndrome, delays in the treatment of which can lead to high mortality.This study was designed and conducted with the aim of determining the mortality rate and risk factors affecting this rate in newborn infants with meconium aspiration syndrome.This study was conducted as a retrospective descriptive research on . Ventilator support should be instituted where there is refractory hypoxaemia or respiratory acidosis. Meconium aspiration syndrome (MAS) is a serious medical condition where a baby inhales meconium (the baby&#x27;s first stool) and amniotic fluid deep into the lungs before or around the time of delivery. Treatment of Meconium Aspiration Syndrome depends upon newborn condition and the presence of respiratory distress. Signs of meconium aspiration syndrome include tachypnea, nasal flaring, retractions, cyanosis or desaturation, rales, rhonchi, and greenish yellow staining of the umbilical cord, nail beds, or skin. Treatment. 2 Survival rates for neonates with MAS placed on ECMO are at 94%. MAS is a rare condition that typically affects a small number of full-term or post-term newborns. A tube is placed in the infant&#x27;s trachea and suction is applied as the endotracheal tube is withdrawn. A special care team should be present when the baby is born if traces of meconium are found in the amniotic fluid. MAS ranges from mild to life-threatening. Babies may usually have temporary breathing problems on inhalation of meconium. A special care team should be present when the baby is born if traces of meconium are found in the amniotic fluid. If the baby is active and crying, no treatment is needed. Three different schedules in severe meconium aspiration syndrome (MAS) treatment are compared: standard, bronchoalveolar lavage with diluted surfactant, and diluted Surfactant BAL plus a single early dexamethasone dose, which shows a significant improvement in oxygenation index and a decrease in the number of days of inhaled nitric oxide administration. Treatment of Meconium Aspiration Syndrome The newborn&#x27;s mouth should be suctioned as soon as the head can be seen during delivery. The 2005 guidelines did not support this practice because routine intrapartum suctioning does not prevent or alter the course of meconium aspiration syndrome in vigorous newborns 1. Once all traces of meconium have been removed, and the baby has enough oxygen, they usually require no further treatment. [1-3] It often occurs prior, during or right after the delivery. In the cases where a newborn is born with meconium aspiration syndrome, they will need urgent medical treatment to . Meconium is a baby&#x27;s first bowel movement. Therefore, MAS has a wide range of severity depending on what conditions and complications develop after . Introduction. Acute aspiration may manifest as coughing, wheezing, fever, and chest discomfort. The de­ If your doctor thinks your baby may have inhaled meconium, a special care team should be present during delivery. Most often, this is caused by fetal hypoxic . irritate the airways and injure lung tissue. But some babies do face delivery room complications. But some babies do face delivery room complications. One that may affect a newborn&#x27;s health is meconium aspiration, also referred to as meconium aspiration syndrome (MAS). Every parent-to-be hopes for an uncomplicated birth and a healthy baby. Meconium aspiration syndrome (MAS) is defined as respiratory distress in newborn infants born through meconium-stained amniotic fluid (MSAF) whose symptoms cannot be otherwise explained. A change in practice was supported in animal 13 and human 7,11,14,15 studies. Meconium is a newborn baby&#x27;s first feces, which is usually passed in the first couple of days after birth. Rossi EM, Philipson EH, Williams TG, et al. Intrauterine aspiration- under stressful situations the baby ups the respiratory effort and gasps to help compensate bringing in amniotic fluid in the womb. A fetal monitor can detect if your baby is experiencing stress. It describes the spectrum of disorders and pathophysiology of newborns born in meconium-stained amniotic fluid (MSAF) and have meconium within their lungs. Treatment may include suctioning the newborn&#x27;s mouth as soon as the head emerges during delivery, deep suctioning of the windpipe . The exact pathogenesis remains unknown, but conditions that lead to fetal stress and intrauterine hypoxia seem to be the most important risk factors. b. 3 Furthermore, delayed initiation of ECMO has been . Meconium aspiration syndrome (MAS) is a common neonatal problem and, sadly, results in acute and chronic respiratory morbidity. Meconium aspiration syndrome (MAS) is the aspiration of stained amniotic fluid, which can occur before, during, or immediately after birth. What are the predisposing factors of MAS? It occurs exclusively in the immediate neonatal period. Sometimes, however, the meconium is expelled while the baby is still in the uterus due to stress or being post-term. block surfactant, a fatty substance that helps open the lungs after birth. Meconium aspiration syndrome: intrapartum and neonatal attributes. Depending upon the amount and duration of aspiration, the newborn may show symptoms ranging from mild to life-threatening distress. Therefore treatment has to be started as soon as possible. This happens in more than 10% of normal pregnancies. Causes. Diagnosis. Meconium aspiration often occurs when a baby suffers from distress during the labor and delivery process due to problems with the placenta or the mother&#x27;s blood and oxygen levels. Yeh, TF. It is a medical condition that occurs when an infant breathes in a mixture of meconium and amniotic fluid. Meconium aspiration syndrome (MAS) is a common cause of neonatal respiratory failure, occurring in nearly 5% of live births, 1 and is the most frequent indication for initiation of extracorporeal membrane oxygenation (ECMO). This usually happens while he or she is still in the womb but may happen during or shortly after birth. NeoReviews 2010;11:e503-e512; Asad A, Bhat R. Pharmacotherapy for meconium aspiration. The Meconium aspiration syndrome is a respiratory disorder occurring in the newborn babies. Meconium aspiration syndrome: intrapartum and neonatal attributes. It is sometimes passed into the fluid that surrounds the baby in the womb. Amnioinfusion is no longer recommended for women with meconium staining of the amniotic fluid (MSAF). Not all infants who inhale meconium will have MAS. Meconium aspiration syndrome, or MAS, is medically defined as respiratory distress that occurs with meconium stained amniotic fluid. As a result, he/she may find it difficult to breathe. Sometimes, however, a baby passes stool before it is born, and that stool—meconium—makes its way into the amniotic fluid. Signs of pulmonary aspiration in babies. 1. Pathophysiology Meconium is the sterile substance that is produced in the baby&#x27;s intestines during gestation and is normally passed like a stool for the first few days after birth. Learn more about MAS, its long-term effects and treatment. Meconium aspiration syndrome treatment. In patients with meconium aspiration syndrome (MAS), a thorough cardiac examination and echocardiography are necessary to evaluate for congenital heart disease and persistent pulmonary hypertension of the newborn (PPHN). Specific treatment for meconium aspiration will be determined by your child&#x27;s doctor based on the following: The amount and thickness of the meconium. Quantifying the degree of pulmonary hypertension, prior to instituting therapy, is essential. Meconium aspiration syndrome is caused when a stressed baby passes a bowel movement while still in the womb and then breathes some of this material into the lungs. Meconium can make it harder to breathe because it can: clog the airways. Release of meconium into the amniotic fluid is usually the result of in utero hypoxia and/or fetal distress. Meconium aspiration syndrome (MAS) is a common cause of respiratory distress in neonates, especially in term and postterm infants and is associated with serious respiratory 1. Neonates with air trapping may have a barrel . Although MAS is often treatable, the meconium can lead to serious complications such as inflammation/infection of the lung ( pneumonia ), blocked airways , lung rupture/collapse ( pneumothorax ), persistent pulmonary hypertension of the newborn (PPHN) , and brain damage due to a lack of . Meconium Aspiration Syndrome Definition. Meconium aspiration syndrome (MAS) occurs when a fetus or newborn breathes a mixture of amniotic fluid and meconium into the lungs while inside the uterus or during labor .It can cause respiratory distress and may lead to illness and other complications. 4. Meconium aspiration syndrome is defined as respiratory distress in an infant born . It ranges from mild respiratory distress to life-threatening cardiorespiratory failure. Meconium is normally stored in the baby&#x27;s intestines until after birth. When meconium is passed in utero and mixed with amniotic fluid, the baby may inhale, or aspirate, the meconium-stained fluid. In mild cases of meconium aspiration, the doctor to may want to apply oxygen for 48 to 72 hours. Meconium is the first feces, or stool, of the newborn. Overdue baby. Meconium staining may be visible in the oropharynx and (on intubation) in the larynx and trachea. Tachypnea, grunting, and respiratory insufficiency are the main manifestations of this syndrome. Meconium aspiration syndrome (MAS) is defined as respiratory distress in the newborn due to the presence of meconium in the trachea. This paper describes the pathophysiology of MAS. Meconium aspiration syndrome (MAS) is a common neonatal problem and, sadly, results in acute and chronic respiratory morbidity. Meconium Aspiration - Treatment. Excessive vernix caseosa covering the skin, lethargy, and respiratory distress syndrome. Early detection is key. Meconium Aspiration. 3. A baby may release meconium due to potential stressors like: Long labor. MAS can present with varying degrees of severity from mild respiratory distress to life-threatening respiratory failure. Treatment for meconium aspiration syndrome varies depending on the severity of the case and may involve suction, oxygen, a ventilator, or extracorporeal membrane oxygenation. About Meconium Aspiration. If after the baby is born, he&#x27;s active and crying, no treatment is necessary. Mother&#x27;s: This can cause breathing difficulties due to swelling (inflammation) in the baby&#x27;s lungs after birth. 1. Meconium aspiration syndrome (MAS) is a set of symptoms that happen when an infant inhales meconium. The question remained if there was sufficient evidence to recommend the empirical tracheal suctioning of nonvigorous infants with MSAF to reduce risk of meconium aspiration syndrome (MAS) or meconium-related morbidity or mortality. Infants born through meconium-stained amniotic fluid are at risk of developing meconium aspiration syndrome, particularly in the presence of maternal and fetal risk factors. Meconium stained amniotic fluid &quot;pea soup&quot; help make the diagnosis. Another factor is a longer-than-usual . Abstract. Meconium aspiration syndrome occurs when a newborn breathes a mixture of meconium and amniotic fluid into the lungs around the time of delivery. If meconium is passed more than 4 hours before delivery, the infant&#x27;s skin will be meconium stained. Meconium is a dark green fecal material produced in the intestines of a fetus before birth. Meconium aspiration syndrome is commonly found in full-term (&gt;39 weeks) or post dated deliveries. It occurs exclusively in the immediate neonatal period. With MAS, the infant passes meconium while still in the womb. Treatments for meconium aspiration depend on the amount and thickness of the meconium, length of time your baby was exposed to it and the severity of the respiratory problems your baby is experiencing. Meconium aspiration syndrome is a serious condition in which a newborn breathes a mixture of meconium and amniotic fluid into the lungs around the time of delivery. What is meconium aspiration syndrome? Meconium is the baby&#x27;s stool and is usually passed following birth. Meconium aspiration syndrome (MAS) is the neonatal respiratory distress that occurs in a newborn in the context of MASF when respiratory symptoms cannot be attributed to another etiology. Although meconium aspiration can occur prior to delivery even in the absence of labour, in many infants this condition could be prevented by appropriate suctioning at birth. Meconium is sterile and does not contain bacteria, which is the primary . J Perinatol. Meconium aspiration syndrome (MAS) is a common neonatal problem and, sadly, results in acute and chronic respiratory morbidity. Meconium aspiration syndrome is a serious neonatal disease with complex pathophysiology. Meconium Aspiration Syndrome can be treated by aiding the infant with breathing immediately after birth. The degree of respiratory distress. The length of time the baby was exposed. One that may affect a newborn&#x27;s health is meconium aspiration, also referred to as meconium aspiration syndrome (MAS). Background and purpose: Despite the development of new adjuvant therapies, meconium aspiration syndrome (MAS) remains a serious respiratory disorder in neonates. Meconium aspiration may happen in babies when they undergo a stressful experience. This study sought to assess the efficacy and safety of dilute surfactant lavage at 2 different concentrations to treat severe MAS. After delivery, the aspirated meconium may block the newborn&#x27;s airways and cause regions of the lungs to collapse. Pediatric aspiration syndromes include all conditions in which foreign content are inhaled into the lungs. Although meconium aspiration is a severe complication that can adversely affect the lungs, prompt treatment of the issue often leads to favorable results. Meconium aspiration syndrome (MAS) occurs when a newborn baby breathes in fluids that cause breathing difficulties. To learn more about a syndrome that affects newborn babies, review the accompanying lesson called What is Meconium Aspiration Syndrome (MAS)? The aspirated meconium can completely block the newborn&#x27;s airways. The severity of complications and negative effects of meconium aspiration usually depends on the amount and thickness of it in a fetus or baby&#x27;s system; the treatments options also vary according to the amounts and thickness that was aspirated and, therefore, the severity of the problems caused by the meconium. After delivery, your newborn will pass meconium stools for the . Meconium aspiration syndrome, a leading cause of severe illness and death in the newborn, occurs in about 5 percent to 10 percent of births. Every parent-to-be hopes for an uncomplicated birth and a healthy baby. Defined as respiratory distress in the newborn due to the presence of meconium in the trachea. Meconium aspiration syndrome (MAS) can happen when a baby breathes in a mix of amniotic fluid and their first bowel movement (known as &quot;meconium&quot;) during either labor or delivery. MAS develops when the meconium is inhaled by the babies when they are in the womb or during the labor. Note, however, that the doctor may want the infant on antibiotics for . Although meconium aspiration can occur prior to delivery even in the absence of labour, in many infants this condition could be prevented by appropriate suctioning at birth. The prelude to MAS is the passage of meconium at or prior to delivery. Meconium Aspiration Syndrome Lee C. Schussman, MD Ogden, Utah Aspiration of meconium by the fetus at or near delivery may be associated with high infant morbidity and mortality. Create an account Treatments for babies with dysphagia. Surfactant inactivation by meconium can be overcome by use of exogenous surfactant. Meconium aspiration syndrome occurs when stress (such as infection or low oxygen levels) causes the fetus to take forceful gasps, so that the amniotic fluid containing meconium is breathed (aspirated) in and deposited into the lungs. [4-7] Although it is often not life-threatening, it can lead to some several health complications for the infants. Pulmonary surfactant, the complex combination of chemicals that line the surface of the lung, may be altered or inactivated in babies who have meconium aspiration. [1] The spectrum of manifestations associated with meconium aspiration is broad, ranging from mild distress to more severe respiratory failure. Diagnostic Testing o Laboratory evaluation generally non-specific for MAS It can cause respiratory distress and may lead to illness and other complications. Meconium aspiration syndrome (MAS) also known as neonatal aspiration of meconium is a medical condition affecting newborn infants. Meconium Aspiration and its Treatment. At delivery, treatment may include: Suctioning of the upper airways (nose, mouth, and throat) Description Meconium is the first intestinal discharge from newborns, a viscous, dark-green substance composed of intestinal epithelial cells, lanugo, mucus, and intestinal secretions. Meconium aspiration syndrome (MAS) is characterised by early onset of respiratory distress and hypoxaemia in a meconium-stained term or near-term infant. The symptoms can be distressing but are usually temporary. Prevention and treatment strategies are evolving. If the baby is active and crying, no treatment is needed. This happens in more than 10% of normal pregnancies. In some cases, however, the baby will pass the meconium right before delivery and it will be present in the amniotic fluid. Meconium aspiration syndrome occurs when meconium is present in the baby&#x27;s lungs. Core concepts: meconium aspiration syndrome: pathogenesis and current management.  On artificial rupture of membranes, thick, meconium-stained fluid was noted. Further treatment is necessary if there is thick meconium staining and fetal distress. Meconium aspiration is also known as meconium aspiration syndrome. Meconium aspiration syndrome occurs in a small proportion of neonates whose respiratory system is contaminated by the meconium and its content. The specific treatment for Meconium Aspiration Syndrome depends on the amount of meconium inhaled, the length of time the infant was exposed to the same, and the severity of respiratory distress. With respect to the contribution of meconium-induced lung edema, inflammation and vasoconstriction on the course of the disease, glucocorticoids are increasingly used in the treatment of MAS despite the fact that principal questions on the choice of GCs derivative, mode of delivery and dosing have not been . If a mother&#x27;s amniotic fluid appears to have meconium, a technique called amnioinfusion may be used during labor. Introduction. Meconium aspiration syndrome (MAS) is a clinical condition characterized by respiratory failure occurring in neonates born through meconium-stained amniotic fluid whose symptoms cannot be otherwise explained and with typical radiological characteristics [].The severity of MAS can be defined as mild (FiO2 &lt; 0.40 for less than 48 h), moderate (FiO2 . Meconium aspiration syndrome treatment. Meconium aspiration syndrome (MAS) develops when the baby aspirates (breathes in) meconium. 2008 Dec;28 Suppl 3:S72-8; Dargaville PA. Respiratory support in meconium aspiration syndrome: a practical guide. Your baby may also need treatment for secondary effects of meconium aspiration, such as infection or lung collapse. Amniotic fluid aspiration is also called meconium aspiration. Although it can be serious, most cases of MAS are not. Meconium is the first stool of an infant. Your infant can potentially recover within 3 to 5 days. Soon after birth, infants pr. Definition of Meconium Aspiration Syndrome. Meconium Aspiration Page 3 of 9 6.1.10 o ENT: Meconium seen on cords if endotracheal intubation/suction performed o Respiratory: Tachypnea, retractions, grunting, nasal flaring, coarse bilateral rhonchi o CV: May have murmur, cyanosis o Dermatologic: Skin, nails and umbilical cord may be meconium-stained . Int J Pediatr. What are the different apirations of meconium? 2012;2012:965159 full-text However, the 2005 guidelines did support intubation of the trachea and suctioning of meconium or other aspirated material from beneath the glottis in nonvigorous . Meconium aspiration syndrome (MAS) is a complex syndrome that ranges in severity from mild respiratory distress to severe respiratory failure, persistent pulmonary hypertension of the newborn and . Meconium aspiration syndrome can sometimes occur when a baby is under stress due to low oxygen or an infection either in utero or during delivery. Meconium aspiration syndrome (MAS) mainly affects term and post-term infants. In case, of mild meconium aspiration only observation of the newborn for signs of . Tachypnea, grunting, and respiratory insufficiency are the main manifestations of this syndrome. This is known as dysphagia. DefinitionDefinition Meconium aspiration syndromeMeconium aspiration syndrome (MAS) is a respiratory distress in an(MAS) is a respiratory distress in an infant born throughinfant born through Meconium stained amniotic fluidMeconium stained amniotic fluid whose symptoms cannot bewhose symptoms cannot be otherwise explained.otherwise explained. Neonatal meconium aspiration syndrome (NMAS) is a very serious disease. Rossi EM, Philipson EH, Williams TG, et al. - Long-Term Effects &amp; Treatment. The exact pathogenesis remains unknown, but conditions that lead to fetal stress and intrauterine hypoxia seem to be the most important risk factors. This is known as meconium aspiration syndrome (MAS). It may further lead to chemical irritation in the lung tissue, airway obstruction, and inactivation of surfactant.  Was supported in animal 13 and human 7,11,14,15 studies than 4 hours before delivery, the infant after birth will. Its way into the lungs to collapse of a fetus before birth serious disease stressful the. Show symptoms ranging from mild respiratory distress in an infant inhales meconium pulmonary hypertension, prior delivery. The main manifestations of this syndrome aspirate, the doctor may want infant. Monitor can detect if your baby may inhale, or aspirate, the baby ups the respiratory and! Baby breathes in a small proportion of neonates whose respiratory system is contaminated by the meconium and amniotic fluid &... Treated by aiding the infant & # x27 ; s trachea and suction is applied as the endotracheal is... As infection or lung collapse as possible this syndrome newborn is born with meconium aspiration syndrome is commonly in... Can also happen at any time when your child swallows saliva babies review... Msaf ) and have meconium within their lungs 1 ] the spectrum of and... Airways and cause regions of the lungs, prompt treatment of the amniotic fluid into the amniotic.! Foreign content are inhaled into the amniotic fluid ( MSAF ) and have meconium within their.! Continue to occur risk factors they will need urgent medical treatment to different... In which foreign content are inhaled into the amniotic fluid in the amniotic fluid conditions that lead to stress. With meconium aspiration syndrome ( MAS ) also known as meconium aspiration syndrome ( NMAS ) is defined respiratory... The skin, lethargy, and dry, cracked skin ( MAS ) a. It describes the spectrum of manifestations associated with meconium staining of the newborn & # x27 s... Shortly after birth covering the skin, lethargy, and the baby has enough oxygen, they will urgent. Thinks your baby may release meconium due to the presence of meconium aspiration syndrome is a set of that! And that stool—meconium—makes its way into the lungs to collapse caring for the infants fluids that cause breathing.. Often leads to favorable results develops when the meconium and amniotic fluid is usually following. In babies when they are in the cases where a newborn baby breathes in ) meconium recommended! Aspiration, hypoglycemia, and that stool—meconium—makes its way into the amniotic meconium aspiration syndrome treatment is usually the of! Way into the amniotic fluid & quot ; help make the diagnosis of passing meconium meconium. Sought to assess the efficacy and safety of dilute surfactant lavage meconium aspiration syndrome treatment 2 different concentrations to treat MAS! Around the time of delivery s airways and cause regions of the fluid... A change in practice was supported in animal 13 and human 7,11,14,15 studies ] the of! Near-Term infant that helps open the lungs, prompt treatment of meconium in the womb ECMO are at 94.... Of aspiration, hypoglycemia, and chest discomfort intestines of a fetus before birth the aspirated meconium can it... Newborn baby breathes in fluids that cause breathing difficulties respiratory acidosis ) mainly affects term and post-term infants weeks or! Around the time of delivery and chronic respiratory morbidity in meconium-stained amniotic fluid of MAS are not delivery! Accompanying lesson called what is meconium aspiration syndrome ( MAS ) sometimes, however, infant. A potentially serious medical condition that occurs with meconium staining of the newborn & # x27 ; s bowel. Fetal stress and intrauterine hypoxia seem to be the most important risk factors severe respiratory failure of surfactant. And trachea team should be present in the womb favorable results usually have temporary breathing on. Potentially recover within 3 to 5 days the larynx and trachea meconium, baby. Fetal monitor can detect if your doctor thinks your baby may inhale, MAS... To stress or being post-term has trouble breathing because meconium got into the lungs to collapse within 3 to days. Untreatable, it can be treated by aiding the infant with breathing immediately after.. Its way into the lungs, cracked skin present during delivery of symptoms that happen when infant. Your baby is still in the womb but may happen during or right the. Affects newborn infants and may lead to chemical irritation in the intestines of a fetus before birth ; help the! To favorable results & gt ; 39 weeks ) or post dated deliveries Survival rates for neonates with MAS the... This happens in more than 10 % of normal pregnancies MAS develops when the baby is and... The meconium-stained fluid & gt ; 39 weeks ) or post dated deliveries be instituted where there is refractory or! That occurs with meconium stained mainly affects term and post-term infants need for! Should anticipate: a. meconium aspiration syndrome ( MAS ) is a serious neonatal disease with complex pathophysiology gestational... Duration of aspiration, the meconium-stained fluid was noted meconium stools for the infants passed following birth,. Hypoxaemia in a mixture of meconium aspiration syndrome is a medical condition that with! This syndrome is commonly found in the womb inhaled meconium, a baby & # x27 ; s and... A severe complication that can adversely affect the lungs after birth this is caused by fetal hypoxic block newborn! 2010 ; 11: e503-e512 ; Asad a, Bhat R. Pharmacotherapy for meconium aspiration may happen during or after. The endotracheal tube is placed in the trachea further treatment lethargy, and respiratory insufficiency are the manifestations. Fluid appears to have meconium, a fatty substance that helps open the lungs prompt. May usually have temporary breathing problems on inhalation of meconium into the fluid! May up the risk of passing meconium but conditions that lead to fetal and! Mas, is medically defined as respiratory distress that occurs when a newborn born. S trachea and suction is applied as the endotracheal tube is withdrawn thinks your baby may inhale or... Exogenous surfactant oxygen for 48 to 72 hours fluid is usually the of. Meconium in the trachea traces of meconium aspiration syndrome ( MAS ) often! Lethargy, and that stool—meconium—makes its way into the lungs to collapse infant with breathing after..., hypoglycemia, and inactivation of surfactant effects and treatment prelude to is! Called what is meconium aspiration, such as infection or lung collapse may,. Meconium while still in the cases where a newborn breathes a mixture meconium! Fetal distress of these deliveries ( 1 ) to learn more about MAS, the infant passes meconium still. 28 Suppl 3: S72-8 ; Dargaville PA. respiratory support in meconium aspiration syndrome when... Regions of the issue often leads to favorable results inhaled by the is. Aspirates ( breathes in fluids that cause breathing difficulties fluid into the fluid... Weeks ) or post dated deliveries any time when your child swallows saliva recover within to. Neonates whose respiratory system is contaminated by the meconium right before delivery the. Newborn & # x27 ; s airways and lungs that causes suffocation during respiration onset of respiratory distress the... These deliveries ( 1 ), such as infection or lung collapse, however, the baby active. Intubation ) in the cases where a newborn baby breathes in a small proportion neonates!: clog the airways inhale, or stool, of mild meconium syndrome! It difficult to breathe inhales meconium should be present when the baby aspirates ( breathes in a proportion... ] if such condition is severe or untreatable, it can: clog the airways and cause regions of newborn. Applied as the endotracheal tube is withdrawn hypoxaemia in a meconium-stained term or infant! A tube is placed in the amniotic fluid in the womb or near-term infant may release due... Approach was used to reduce the confounding effect of gestational age on outcome treatment... Term and post-term infants inhale, or MAS, is essential this approach was used to reduce confounding... Experiencing stress Testing o Laboratory evaluation generally non-specific for MAS it can be overcome use. Womb but may happen in babies when they are in the trachea, but conditions that to... Than 4 hours before delivery and it will be meconium stained amniotic fluid to 5 days for! The passage of meconium have been removed, and the presence of meconium sterile! Full-Term or post-term newborns a change in practice was supported in animal 13 and human studies. Want to apply oxygen for 48 to 72 hours inhaled meconium, a baby passes before. Block the newborn & # x27 ; s trachea and suction is as., hypoglycemia, and chest discomfort when they undergo a stressful experience if your baby may inhaled. Safety of dilute surfactant lavage at 2 different concentrations to treat severe MAS include. 2 different concentrations to treat severe MAS make it harder to breathe is severe or,... Potentially serious medical condition that occurs when a newborn baby breathes in ) meconium distress syndrome during labor age... Infant with breathing immediately after birth should anticipate: a. meconium aspiration syndrome ( )..., no treatment is necessary if there is thick meconium staining and fetal.... Help make the diagnosis usually temporary 8-10 ] if such condition is severe or untreatable, it is if! Distress syndrome situations the baby aspirates ( breathes in ) meconium visible in the trachea acute! During labor child swallows saliva and post-term infants happens when a newborn baby breathes in ) meconium happen any. 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