Outcomes of neonates born through meconium-stained amniotic fluid pre and post 2015 NRP guideline implementation.

ABSTRACT: A shift in the Neonatal Resuscitation Program (NRP) guidelines occurred in 2015 from routine intubation and endotracheal suctioning of all meconium-stained non-vigorous infants towards less aggressive interventions based on response to initial resuscitation. This study aims to examine the impact of this change on outcomes of non-vigorous infants born through meconium-stained amniotic fluid at a level III academic NICU encompassing years before and after the change in guideline. This single-center retrospective study compared NICU therapies and clinical outcomes of 117 non-vigorous newborns pre-guideline implementation to 106 non-vigorous newborns post-guideline implementation. Nearly two thirds of infants in the pre-guideline cohort received endotracheal suctioning with recovery of meconiu

SUBMITTER: Saint-Fleur AL 

PROVIDER: S-EPMC10414582 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature