{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T16:24:59Z","timestamp":1703089499600},"reference-count":36,"publisher":"Georg Thieme Verlag KG","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>\n            Objective\u2003Meconium is a common finding in amniotic fluid and placental specimens, particularly in term and post-term pregnancies. The objective of this paper was to perform a meta-analysis to examine the impact of endotracheal suctioning on the occurrence of meconium aspiration syndrome (MAS), mortality, and complications.<\/jats:p><jats:p>\n            Study Design\u2003PubMed, EMBASE, and the Cochrane library were systematically searched for comparative studies. Odds ratios (ORs), weighted mean differences (WMDs), and corresponding 95% confidence intervals (CIs) were used to compare the outcomes.<\/jats:p><jats:p>\n            Results\u2003Twelve studies were included in the meta-analysis. There were no significant impacts of endotracheal suctioning on the occurrence of MAS (OR\u2009=\u20093.05, 95% CI: 0.48\u201319.56), mortality (OR\u2009=\u20091.25, 95% CI: 0.35\u20134.44), the need for mechanical ventilation (OR\u2009=\u20094.20, 95% CI: 0.32\u201354.72), the occurrence of pneumothorax (OR\u2009=\u20090.99, 95% CI: 0.34\u20132.85), persistent pulmonary hypertension of the newborn (PPHN), (OR\u2009=\u20091.31, 95% CI: 0.58\u20132.98), hypoxic-ischemic encephalopathy (HIE) (OR\u2009=\u20090.82, 95% CI: 0.52\u20131.30), and length of stay (WMD\u2009=\u2009\u22120.11, 95% CI: \u22120.99\u20130.77).<\/jats:p><jats:p>\n            Conclusion\u2003Routine endotracheal suctioning at birth is not useful in preventing MAS, mortality, mechanical ventilation, PPHN, HIE, and prolonged length of stay in neonates born through MSAF.<\/jats:p><jats:p>\n            Key Points\n          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China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenjing","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, The Third Central Hospital of Tianjin, Hedong District, Tianjin, China"},{"name":"Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Tianjin, China"},{"name":"Department of obstetrics, Artificial Cell Engineering Technology Research Center, Tianjin, China"},{"name":"Tianjin Institute of Hepatobiliary Disease, Tianjin, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qian","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, The Third Central Hospital of Tianjin, Hedong District, Tianjin, China"},{"name":"Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Tianjin, China"},{"name":"Department of obstetrics, Artificial Cell Engineering Technology Research Center, Tianjin, China"},{"name":"Tianjin Institute of Hepatobiliary Disease, Tianjin, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shurong","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, The Third Central Hospital of Tianjin, Hedong District, Tianjin, China"},{"name":"Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Tianjin, China"},{"name":"Department of obstetrics, Artificial Cell Engineering Technology Research Center, Tianjin, China"},{"name":"Tianjin Institute of Hepatobiliary Disease, Tianjin, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jia","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, The Third Central Hospital of Tianjin, Hedong District, Tianjin, China"},{"name":"Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Tianjin, China"},{"name":"Department of obstetrics, Artificial Cell Engineering Technology Research Center, Tianjin, 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