Meconium Aspiration Syndrome

Neonates born through meconium stained liquor can aspirate the meconium into the lungs and develop respiratory distress. Aspirated meconium can block the large and small airways causing areas of atelectasis and emphysema, which can progress to develop air leak syndrome.

Symptoms Respiratory distress (Tachypnea, retractions, grunting, cyanosis, etc.)

Complications

  • Asphyxia
  • Air leak syndrome (Pneumothorax, pneumopericardium etc)
  • PPHN

Risk Factors

  • IUGR babies
  • Fetal distress
  • Post maturity etc

Prevention Proper suctioning during resuscitation

Diagnosis: Clinical diagnosis, Xray chest (hyperinflated lungs, patchy infiltrates)

Treatment

  • Oxygen support
  • CPAP support
  • Mechanical ventilation
  • Supportive management (IV fluids)
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