Meconium Reviewer Quebral
Meconium Reviewer Quebral
Meconium Reviewer Quebral
MECONIUM MANIFESTATIONS
• is the green viscous fluid that consists of fetal • low APGAR score
gastrointestinal secretions, cellular debris, mucus, • tachypnea
blood, lanugo, and vernix. • retractions
• first appears in the fetal ilium between 10- and 16 • cyanosis
weeks' gestation • coarse bronchial sounds on auscultation
• barrel chest
• decreased PO2 and increased PCO2
MECONIUM ASPIRATION SYNDROME
• bilateral coarse infiltrates in the lungs with spaces of
hyperaeration
• is respiratory distress in a newborn baby caused by
the presence of meconium in the tracheobronchial
airways. THERAPEUTIC MANAGEMENT
• the aspiration of meconium stained amniotic.
• Amnioinfusion
fluid by the fetus can happen:
- can be used to dilute the amniotic fluid
- while the baby is still in the uterus
• Elective cesarian birth
- during delivery
• Oxygen administration and assisted ventilation
- immediately after birth
• Antibiotic therapy
• IVF therapy
RISK FACTORS • Surfactant therapy
• Air trapping monitoring
•
• Chest physiotherapy
• “aging" of the placenta
• Nitric oxide
• fetal hypoxia
- pulmonary vasodilators
• difficult delivery or prolonged labor
• ECMO- extracorporeal membrane oxygenation
• breech presentation.
- is similar to the heart-lung by-pass machine used in
open-heart surgery.
PATHOPHYSIOLOGY - has been successful as a rescue therapy for NBs
with respiratory failure with some diagnoses such as
meconium aspiration syndrome (MAS) having a
survival rate of morethan 94%.
- is used to help NBs whose:
PREVENTION
• Tracheobronchial Toileting