[Management of newborns with meconium-stained amniotic fluid: prospective evaluation of practice]. / Prise en charge des nouveau-nés naissant dans un liquide méconial: évaluation prospective des pratiques.
Ann Fr Anesth Reanim
; 29(9): 605-9, 2010 Sep.
Article
em Fr
| MEDLINE
| ID: mdl-20634027
ABSTRACT
OBJECTIVE:
Regional guideline for immediate tracheal suctioning (ITS) in vigorous and non-vigorous infants born through meconium-stained amniotic fluid (MSAF) has been established in 2003. The objective of this study was to evaluate guideline application. STUDYDESIGN:
Prospective cohort. PATIENTS ANDMETHODS:
The first part of the study was a short survey about ITS practices in maternity hospitals then, management and early evolution of babies born through particulate MSAF was evaluated by questionnaire.RESULTS:
Among 6761 neonates, 199 (3%) were born with MSAF. Early clinical evaluation showed 52 (26%) non-vigorous neonates; 22 of them (42%) have had an ITS. One hundred and forty-seven neonates were vigorous (74%); 27 of them (18%) have had an ITS. Implementation of recommendations in non-vigorous babies was better in maternities of level III, while they were lower in maternities of level IIA for vigorous babies. Among 52 non-vigorous children, eight had a meconium aspiration syndrome (MAS), including five who had an ITS. One MAS occurred in vigorous babies but infection could not be excluded.CONCLUSION:
Recommendations for ITS were implemented in 70% of cases but only in 42% of cases in non-vigorous babies. We have to improve formation and circulation of new recommendations.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Líquido Amniótico
/
Doenças do Recém-Nascido
/
Mecônio
Tipo de estudo:
Evaluation_studies
/
Guideline
/
Observational_studies
/
Qualitative_research
Limite:
Female
/
Humans
/
Male
/
Newborn
Idioma:
Fr
Ano de publicação:
2010
Tipo de documento:
Article