Neonatal outcomes of non-vigorous neonates with meconium-stained amniotic fluid before and after change in tracheal suctioning recommendation.

Chiruvolu et al reported an increase in the incidence of MAS from 5 to 11% among non-vigorous infants with MSAF, although this difference did not reach statistical significance (95% CI 0.83–6.2). 20 Finally, one randomized animal study demonstrated a decrease in density of aspirated meconium in the lungs and better oxygenation with tracheal suctioning following acute meconium aspiration. 28 However, onset of PPV was delayed by approximately 100 seconds due to suctioning. 28 In the current study, we found a significant increase in MAS and respiratory related NICU admissions among both non-vigorous infants and all infants born through MSAF with revised no-routine suction guidelines.

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