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Re: Amnioinfsuion for meconiumFrom: Orhan Bukulmez (orhanb@neuron.ato.org.tr)Sun Aug 11 17:08:57 1996
Kenneth J. Moise wrote: > > 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 In some of the cases where amniofusion was performed I have an observation about the outcome of some term otherwise low risk neonates with benign-reactive tracing prior to delivery. I have a feeling that infusion of the fluid, although helping to decrease cord compression related decels during labor, it seems to increase the aspiration of meconium although less concentrated, necessitating NICU admission. Does the pressure created by that fluid infusion has a role in this meconium aspiration paradoxically? Since all of these babies had no sign of any distress as far as fetal heart tracing is concerned.
-- Orhan Bukulmez, M.D. Hacettepe University Hospital, Ankara, Turkey
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