The pros and cons of suctioning at the perineum (intrapartum) and post-delivery with and without meconium

Seminars in Fetal and Neonatal Medicine

Volumn 13, Issue 6, 2008, Pages 375-382

  Velaphi, Sithembiso ^a   Vidyasagar, Dharmapuri ^b  

^a UNIVERSITY OF THE WITWATERSRAND   (South Africa)

^b UNIVERSITY OF ILLINOIS AT CHICAGO   (United States)

Author keywords

Apnea; Bradycardia; Intrapartum; MAS; MSAF; Newborn; Oronasopharyngeal suctioning (ONPS); Oxygen saturation; Perineal; Suctioning

Indexed keywords

AMNION FLUID; ARTICLE; CESAREAN SECTION; CLINICAL PRACTICE; HUMAN; MECONIUM ASPIRATION; OXYGEN SATURATION; PERINEUM; SUCTION; VAGINAL DELIVERY;

HUMANS; INFANT, NEWBORN; MECONIUM; MECONIUM ASPIRATION SYNDROME; OXYGEN; PARTURITION; PERINEUM; SUCTION;

EID: 52949114563     PISSN: 1744165X     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.siny.2008.04.001     Document Type: Article

References (43)

1. Cunningham F.E., Gant N.F., Leveno K.J., Gilstrap L.C., Hauth J.C., and Wenstrom K.D. Williams obstetrics. 21st ed. (2001), McGraw-Hill, New York
2. Varney H. Varney's midwifery. 4th ed. (2003), Jones and Bartlett, Boston
3. Gausche-Hill M., Fuchs S., and Yamamoto L. The pediatric emergency medicine resource. 4th ed. (2004), Jones and Bartlett, Boston
4. McCartney P. Bulb syringes in newborn care. MCN Am J Matern Child Nurs 25 (2000) 217
5. Cordero Jr. L., and Hon E.H. Neonatal bradycardia following nasopharyngeal stimulation. J Pediatr 78 (1971) 441-447
6. Estol P.C., Piriz H., Basalo S., Simini F., and Grela C. Oro-nasopharyngeal suction at birth: effects on respiratory adaptation of normal vaginally born infants. J Perinat Med 20 (1992) 297-305
7. Carrasco M., Martell M., and Estol P.C. Oronasopharyngeal suction at birth: effects on arterial oxygen saturation. J Pediatr 130 (1997) 832-834
8. Waltman P.A., Brewer J.M., Rogers B.P., and May W.L. Building evidence for practice: a pilot study of newborn bulb suctioning at birth. J Midwifery Womens Health 49 (2004) 32-38
9. Gungor S., Teksoz E., Ceyhan T., Kurt E., Goktolga U., and Baser I. Oronasopharyngeal suction versus no suction in normal, term and vaginally born infants: a prospective randomized controlled trial. Aust N Z J Obstet Gynaecol 45 (2005) 453-456
10. Gungor S., Kurt E., Teksoz E., Goktolga U., Ceyhan T., and Baser I. Oronasopharyngeal suction versus no suction in normal and term infants delivered by elective cesarean section: a prospective randomized controlled trial. Gynecol Obstet Investig 61 (2006) 9-14
11. Carson B.S., Losey R.W., Bowes W.A., and Simmons M.A. Combined obstetric and pediatric approach to prevent meconium aspiration syndrome. Am J Obstet Gynecol 126 (1976) 712-715
12. Falciglia H.S. Failure to prevent meconium aspiration syndrome. Obstet Gynecol 71 (1988) 349-353
13. Falciglia H.S., Henderschott C., Potter P., and Helmchen R. Does DeLee suction at the perineum prevent meconium aspiration syndrome. Am J Obstet Gynecol 167 (1992) 1243-1249
14. Wiswell T.E., Gannon C.M., Jacob J., et al. Delivery room management of the apparently vigorous meconium-stained neonate: results of the multicenter, international collaborative trial. Pediatrics 105 (2000) 1-7
15. Vain N.E., Szyld E.G., Prudent T.E., Aguilar A.M., Vivas N.I., and for the Meconium Study Network. Oropharyngeal and nasopharyngeal suctioning of meconium-stained neonates before delivery of their shoulders: multicentre, randomized controlled trial. Lancet 364 (2004) 597-602
16. Gregory G.A., Gooding C.A., Phibbs R.H., and Tooley W.H. Meconium aspiration in infants- a prospective study. J Pediatr 85 (1974) 848-852
17. Manickum D. A retrospective review of tracheal suction at birth in neonates with meconium aspiration syndrome. Med J Malaysia 47 (1992) 60-64
18. Bhatia G., and Mishra O.P. Meconium stained amniotic fluid: antenatal, intrapartum and neonatal attributes. Indian Pediatr 33 (1996) 293-297
19. Ziadeh S.M., and Sunna E. Obstetric and perinatal outcome of pregnancies with term labor and meconium-stained amniotic fluid. Arch Gynecol Obstet 264 (2000) 84-87
20. Meydanli M.M., Dilbaz B., Caliskan E., Dilbaz S., and Haberal A. Risk factors for meconium aspiration syndrome in infants born through thick meconium. Int J Gynaecol Obstet 72 (2001) 9-15
21. Dargaville P.A., Copnell B., and for the Australian and New Zealand Neonatal Network. The epidemiology of meconium aspiration syndrome: incidence, risk factors, therapies and outcome. Pediatrics 117 (2006) 1712-1721
22. Fox W.W., Gutsche B.B., and Devore J.S. A delivery room approach to the meconium aspiration syndrome (MAS). Clin Pediatr 16 (1977) 325-328
23. Ting P., and Brady J.P. Tracheal suction in meconium aspiration. Am J Obstet Gynecol 122 (1975) 767-771
24. Wiswell T.E., and Henley M.A. Intratracheal suctioning, systemic infection and the meconium aspiration syndrome. Pediatrics 89 (1992) 203-206
25. Linder N., Aranda J.V., Tsur M., et al. Need for endotracheal intubation and suction in meconium-stained neonates. J Pediatr 112 (1988) 613-615
26. Liu W.F., and Harrington T. The need for delivery room intubation of thin meconium in the low-risk newborn: a clinical trial. Am J Perinatol 15 (1998) 675-682
27. Daga S.R., Dave K., Mehta V., and Pai V. Tracheal suction in meconium stained infants: a randomized controlled study. J Trop Pediatr 40 (1994) 198-200
28. Halliday H.L., and Sweet D. Endotracheal intubation at birth for preventing morbidity and mortality in vigorous, meconium-stained infants born at term. Cochrane Database Syst Rev 1 (2001) CD000500
29. Yoder B. Meconium-stained amniotic fluid and respiratory complications: impact of selective tracheal suction. Obstet Gynecol 83 (1994) 77-84
30. Peng T.C.C., Gutcher G.R., and Van Dorsten J.P. A selective approach to the neonate exposed to meconium-stained amniotic fluid. Am J Obstet Gynecol 175 (1886) 296-303
31. Al Takroni A.M.B., Parvathi C.K., Mendis K.B.L., Hassan S., Reddy I., and Kudair H.A. Selective tracheal suctioning to prevent meconium aspiration syndrome. Int J Gynecol Obstet 63 (1998) 259-263
32. Chaturvedi P., Yadav B., and Bharambe M.S. Delivery room management of neonates born through meconium stained amniotic fluid. Indian Pediatr 37 (2000) 1251-1255
33. Van Dyke R.B., and Spector S.A. Transmission of herpes simplex virus type 1 to a newborn infant during endotracheal suctioning for meconium aspiration. Pediatr Infect Dis J 3 (1984) 153-156
34. Bland R.D., Bressack M.A., and MacMillan D.D. Labor decreases the lung water content of newborn rabbits. Am J Obstet Gynecol 135 (1979) 364-367
35. Brown M.J., Olver R.E., Ramsden C.A., Strang L.B., and Walters D.V. Effects of adrenaline and of spontaneous labor on the secretions and absorption of lung liquid in the fetal lamb. J Physiol 344 (1983) 137-152
36. Czarnecki M.L., and Kaucic C.L. Infant nasal-pharyngeal suctioning: is it beneficial?. Pediatr Nurs 25 (1999) 193-196
37. Chishty A.L., Alvi Y., Iftikhar M., and Bhutta T.I. Meconium aspiration in neonates: combined obstetric and pediatric interventions improves outcome. J Pak Med Assoc 46 (1996) 104-108
38. Davis R.O., Philips J.B., Harris Jr. B.A., Wilson E.R., and Huddleston F. Fatal meconium aspiration syndrome occurring despite airway management considered appropriate. Am J Obstet Gynecol 151 (1985) 731-736
39. Dooley S.L., Pesavento D.J., Depp R., Socol M.L., Tamura R.K., and Wiringa K.S. Meconium below the vocal cords at delivery: correlation with intrapartum events. Am J Obstet Gynecol 153 (1985) 767-770
40. Rossi E.M., Phillipson E.N., Williams T.G., and Kalhan S.C. Meconium aspiration syndrome: intrapartum and neonatal attributes. Am J Obstet Gynecol 161 (1989) 1106-1111
41. Thureen P., Hall D.M., Hoffenberg A., and Tyson R.W. Fatal meconium aspiration in spite of appropriate prenatal airway management: pulmonary and placental evidence of prenatal disease. Am J Obstet Gynecol 176 (1997) 967-975
42. Petrikovsky B. In utero meconium suctioning may prevent meconium aspiration. Fetal Diagn Ther 19 (2004) 533-535
43. Ghidini A., and Spong C.Y. Severe meconium aspiration syndrome is not caused by aspiration of meconium. Am J Obstet Gynecol 185 (2001) 931-938