meconium aspiration syndrome

• Is the very first Feces of the newborn

  meconium
• is when the newborn breathes that meconium-stained amniotic fluid into his lungs around the time of delivery

  meconium aspiration syndrome
• Its severity is categorized into 3

  mild, moderate, severe MAS
• Meconium is formed by accumulating fetal cellular debris, bile, and mucus.
• Aspirations of these materials causes airway obstruction and triggers inflammatory changes leading to the neonate to develop respiratory distress.
• Meconium Aspiration Syndrome is due to the aspiration of Meconium stained amniotic fluid and MSAF is more common in post-term Newborns.
• Pathophysiology of Meconium aspiration syndrome:

  meconium passage, aspiration, airway obstruction, inflammation, surfactant inactivaton
• Signs and Symptoms of Meconium Aspiration Syndrome:

  • Rapid breathing or labored breathing
  • cyanosis
  • limpness
  • tachycardia
  • low APGAR score
  • retractions
• Medical Interventions:

  • cardiac exam
  • suction the upper airways
  • radiant warmer
  • umbilical catheter
  • oxygen therapy
  • surfactant therapy
  • IVF
• Nursing interventions:

  • Suctioning the upper airways
  • assess strength of peripheral pulses, rr, skin color temp and moisture