{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T14:20:03Z","timestamp":1783002003115,"version":"3.54.5"},"reference-count":42,"publisher":"Springer Publishing Company","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neonatal Network"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:p>The approach to the management of meconium-stained newborns in the delivery room has been changing for over 40 years. The goal is to prevent meconium aspiration syndrome (MAS) and complications related to MAS. For decades, airway obstruction was believed to be a major component of MAS and, consequently, suction maneuvers to remove meconium from the airways were recommended to decrease the frequency and severity of MAS. Initial recommendations were based on observational studies. However, the incidence of MAS and mortality related to MAS has declined since the 1970s, mostly because of a decrease in the number of postterm deliveries. Recently updated guidelines by the American Heart Association and the Neonatal Resuscitation Program have reflected the strength of evidence supporting tracheal intubation and suctioning for nonvigorous, meconium-stained newborns. This article examines practice change since the 1970s in the delivery room management of meconium-stained newborns and evaluates evidence behind the changes.<\/jats:p>","DOI":"10.1891\/0730-0832.37.3.141","type":"journal-article","created":{"date-parts":[[2018,5,23]],"date-time":"2018-05-23T04:38:56Z","timestamp":1527050336000},"page":"141-148","source":"Crossref","is-referenced-by-count":10,"title":["Management of Meconium-Stained Newborns in the Delivery Room"],"prefix":"10.1891","volume":"37","author":[{"given":"Chintan Kiritkumar","family":"Gandhi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"793","published-online":{"date-parts":[[2018,5,1]]},"reference":[{"key":"2019091816050572000_37.3.141.1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/479242"},{"key":"2019091816050572000_37.3.141.2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.03093.x"},{"key":"2019091816050572000_37.3.141.3","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-2215"},{"key":"2019091816050572000_37.3.141.4","doi-asserted-by":"publisher","DOI":"10.7860\/JCDR\/2013\/6509.3781"},{"key":"2019091816050572000_37.3.141.5","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1361105"},{"key":"2019091816050572000_37.3.141.6","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(88)90134-2"},{"key":"2019091816050572000_37.3.141.7","doi-asserted-by":"publisher","DOI":"10.1203\/PDR.0b013e3181ebd4c3"},{"issue":"3","key":"2019091816050572000_37.3.141.8","first-page":"1014","article-title":"Roles of the angiotensin system in neonatal lung injury and disease","volume":"1","year":"2016","journal-title":"JSM Atheroscler"},{"key":"2019091816050572000_37.3.141.9","doi-asserted-by":"publisher","DOI":"10.1179\/146532807X192471"},{"key":"2019091816050572000_37.3.141.10","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD002054.pub3"},{"key":"2019091816050572000_37.3.141.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(74)80358-6"},{"key":"2019091816050572000_37.3.141.12","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(75)90585-2"},{"key":"2019091816050572000_37.3.141.13","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(76)90525-1"},{"key":"2019091816050572000_37.3.141.14","doi-asserted-by":"publisher","DOI":"10.1542\/peds.105.1.1"},{"key":"2019091816050572000_37.3.141.15","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)16852-9"},{"key":"2019091816050572000_37.3.141.16","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa050223"},{"key":"2019091816050572000_37.3.141.17","doi-asserted-by":"crossref","unstructured":"Niermeyer, S , Kattwinkel, J , Van Reempts, P ; International guidelines for neonatal resuscitation: an excerpt from the guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care: international consensus on science. Contributors and reviewers for the neonatal resuscitation guidelines. Pediatrics. 2000;106(3):E29.","DOI":"10.1542\/peds.106.3.e29"},{"key":"2019091816050572000_37.3.141.18","unstructured":"Kattwinkel, J , American Heart Association, American Academy of Pediatrics. Textbook of Neonatal Resuscitation. 5th ed. Dallas, TX; Elk Grove Village, Ill: American Academy of Pediatrics; 2006:42\u201344."},{"key":"2019091816050572000_37.3.141.19","doi-asserted-by":"crossref","unstructured":"ACOG Committee Obstetric Practice. ACOG Committee opinion number 346, October 2006: amnioinfusion does not prevent meconium aspiration syndrome. Obstet Gynecol. 2006;108(4):1053.","DOI":"10.1097\/00006250-200610000-00048"},{"key":"2019091816050572000_37.3.141.20","doi-asserted-by":"crossref","unstructured":"Kattwinkel, J , Bloom, RS , American Heart Association, American Academy of Pediatrics. Textbook of Neonatal Resuscitation. 6th ed. Dallas, TX; Elk Grove Village, IL: American Academy of Pediatrics; 2011:pp. 176\u2013178.","DOI":"10.1542\/9781581106299"},{"key":"2019091816050572000_37.3.141.21","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2014.12.076"},{"key":"2019091816050572000_37.3.141.22","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2016.05.015"},{"key":"2019091816050572000_37.3.141.23","doi-asserted-by":"crossref","unstructured":"Weiner, GM , Zaichkin, J , Kattwinkel, J , American Heart Association, American Academy of Pediatrics. Textbook of Neonatal Resuscitation. 7th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2016:53.","DOI":"10.1542\/9781610020251"},{"issue":"6","key":"2019091816050572000_37.3.141.24","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1542\/peds.86.6.1007","article-title":"More on meconium aspiration","volume":"86","year":"1990","journal-title":"Pediatrics"},{"key":"2019091816050572000_37.3.141.25","doi-asserted-by":"publisher","DOI":"10.1055\/s-2002-35611"},{"key":"2019091816050572000_37.3.141.26","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(11)91641-X"},{"key":"2019091816050572000_37.3.141.27","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-994699"},{"key":"2019091816050572000_37.3.141.28","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(94)00385-Q"},{"key":"2019091816050572000_37.3.141.29","unstructured":"Maher, JE , Wenstrom, KD , Hauth, JC , Meis, PJ. Amniotic fluid embolism after saline amnioinfusion: two cases and review of the literature. Obstet Gynecol. 1994;83(5 Pt 2):851."},{"key":"2019091816050572000_37.3.141.30","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00708.x"},{"key":"2019091816050572000_37.3.141.31","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD000014.pub3"},{"key":"2019091816050572000_37.3.141.32","doi-asserted-by":"publisher","DOI":"10.1097\/00132582-198810000-00043"},{"key":"2019091816050572000_37.3.141.33","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(11)91695-0"},{"key":"2019091816050572000_37.3.141.34","unstructured":"James, LS. Resuscitation procedures in the delivery room. In: Abramson, H , ed. Resuscitation of newborn infant. St. Louis (MO): CV Mosby Co; 1960."},{"key":"2019091816050572000_37.3.141.35","first-page":"1031","article-title":"Meconium aspiration in the newborn","volume":"57","year":"1973","journal-title":"Minn Med"},{"key":"2019091816050572000_37.3.141.36","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(88)80183-5"},{"issue":"2","key":"2019091816050572000_37.3.141.37","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1542\/peds.89.2.203","article-title":"Intratracheal suctioning, systemic infection, and the meconium aspiration syndrome","volume":"89","year":"1992","journal-title":"Pediatrics"},{"key":"2019091816050572000_37.3.141.38","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD000500"},{"key":"2019091816050572000_37.3.141.39","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7211385"},{"key":"2019091816050572000_37.3.141.40","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-3373G"},{"key":"2019091816050572000_37.3.141.41","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-0207"},{"key":"2019091816050572000_37.3.141.42","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-0349"}],"container-title":["Neonatal Network"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1891\/0730-0832.37.3.141","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,24]],"date-time":"2022-08-24T01:00:41Z","timestamp":1661302841000},"score":1,"resource":{"primary":{"URL":"http:\/\/connect.springerpub.com\/lookup\/doi\/10.1891\/0730-0832.37.3.141"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5]]},"references-count":42,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2018,5,1]]},"published-print":{"date-parts":[[2018,5]]}},"alternative-id":["10.1891\/0730-0832.37.3.141"],"URL":"https:\/\/doi.org\/10.1891\/0730-0832.37.3.141","relation":{},"ISSN":["0730-0832","1539-2880"],"issn-type":[{"value":"0730-0832","type":"print"},{"value":"1539-2880","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5]]}}}