TY - JOUR
T1 - Neonatal outcomes of non-vigorous neonates with meconium-stained amniotic fluid before and after change in tracheal suctioning recommendation
AU - Kalra, Vaneet
AU - Leegwater, Alexandra J.
AU - Vadlaputi, Pranjali
AU - Garlapati, Pranav
AU - Chawla, Sanjay
AU - Lakshminrusimha, Satyan
N1 - Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Nature America, Inc.
PY - 2022/6
Y1 - 2022/6
N2 - Objective: To evaluate the short-term outcomes of non-vigorous infants born through meconium-stained amniotic fluid (MSAF) before and after implementation of no-tracheal suctioning guidelines. Study design: Single-center retrospective study of ≥36-week gestation neonates with MSAF. Results: During routine-suction era (9/2013–12/2014), 280/2306 neonates (12%) were born through MSAF and 39 (14%) were non-vigorous. Thirty (77%) of non-vigorous infants underwent tracheal suctioning. In the no-suction era (1/2017–12/2018), 282/2918 neonates (9.7%) were born through MSAF and 30 (10.6%) were non-vigorous and one needed intubation. Admissions for meconium aspiration syndrome (15% vs 53%) and respiratory distress (18% vs 57%) were significantly higher among non-vigorous infants in the no-suction era. Conclusions: In this single-center study, non-vigorous infants born through MSAF without routine-tracheal suctioning had a higher incidence of NICU admission for MAS and respiratory distress compared to the routine-suction era. Multicenter randomized trials evaluating tracheal suction in non-vigorous infants with MSAF are warranted.
AB - Objective: To evaluate the short-term outcomes of non-vigorous infants born through meconium-stained amniotic fluid (MSAF) before and after implementation of no-tracheal suctioning guidelines. Study design: Single-center retrospective study of ≥36-week gestation neonates with MSAF. Results: During routine-suction era (9/2013–12/2014), 280/2306 neonates (12%) were born through MSAF and 39 (14%) were non-vigorous. Thirty (77%) of non-vigorous infants underwent tracheal suctioning. In the no-suction era (1/2017–12/2018), 282/2918 neonates (9.7%) were born through MSAF and 30 (10.6%) were non-vigorous and one needed intubation. Admissions for meconium aspiration syndrome (15% vs 53%) and respiratory distress (18% vs 57%) were significantly higher among non-vigorous infants in the no-suction era. Conclusions: In this single-center study, non-vigorous infants born through MSAF without routine-tracheal suctioning had a higher incidence of NICU admission for MAS and respiratory distress compared to the routine-suction era. Multicenter randomized trials evaluating tracheal suction in non-vigorous infants with MSAF are warranted.
UR - http://www.scopus.com/inward/record.url?scp=85122496788&partnerID=8YFLogxK
U2 - 10.1038/s41372-021-01287-0
DO - 10.1038/s41372-021-01287-0
M3 - Article
C2 - 34997221
AN - SCOPUS:85122496788
VL - 42
SP - 769
EP - 774
JO - Journal of Perinatology
JF - Journal of Perinatology
SN - 0743-8346
IS - 6
ER -