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Amnioinfsuion for meconiumFrom: Kenneth J. Moise (kmoise@bcm.tmc.edu)Sat Aug 10 21:44:54 1996
The data on prophylactic amnioinfusion to prevent meconium aspiration syndrome is actually quite good. The meta-analysis of the Cochran database has a nice summary. We infuse 800c when thick meconium is noted at the time of amniotomy. Remember the American Academy of Pediatrics still recommends neonatal intubation for cases of thick meconium. (Thin meconium no longer warrants neontal intubation unless the infant shows signs of distress). Amnioinfusion will turn thick meconium into thin meconium but the general opinion is that neonatal visualization of the infant's cords after delivery are still warranted. Ken Moise Baylor College of Medicine
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