Meconium Aspiration Syndrome

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Recommended: Literature review in premature delivery

During a severe blizzard, a 25 year-old Caucasian woman named Linda arrives at Thomas Jefferson University Hospital in Philadelphia, PA after being in labor for over thirty hours at home. Being only 28 weeks pregnant, she was hoping that her contractions would be able to be stopped. Unfortunately the delivery was not able to be interrupted and she delivered a premature baby boy named David at 28 weeks gestation; weighing only 1400 grams. Due to the difficult labor, and baby David being a Frank breech, David was delivered via caesarian section. Upon delivery, David was assessed and was not making any breathing efforts, had no movement of his limbs, a cyanotic appearance, and was covered with meconium-stained amniotic fluid. Tactile stimulation was applied, but baby David still did not show any breathing efforts and had a heart rate of only seventy-five beats per minute. The APGAR score for his heart rate was a one and for respiratory effort, muscle tone, reflex/irritability, and color, it was a zero (APGAR). David had a score of one out of a possible ten points. Baby David needed to be resuscitated while still in the delivery room.
Premature infants, those under thirty-seven weeks gestation, are the largest proportion of neonates that will require some degree of resuscitation. Being less than thirty-two weeks gestation and weighing less than 1,500 grams only increases the chances that resuscitation will be necessary (Wiswell 289). Baby David has many factors that are not in his favor. Being born via caesarian delivery, through meconium-stained amniotic fluid, having a heart rate of less than one-hundred beats-per-minute, poor muscle tone, and no respiratory effort required intubation and suctioning. This, as well as c...

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...edia." U.S National Library of Medicine. U.S.National Library of Medicine, n.d. Web. 28 Feb. 2014.
Firdaus, Uzma, , S. Manazir Ali, and Sandeep Sachdeva. "Maternal And Neonatal Factors Associated With Meconium Stained Amniotic Fluid." Current Pediatric Research 17.1 (2013): 37-40. CINAHL Complete. Web. 1 Mar. 2014.
"Meconium Aspiration Syndrome: MedlinePlus Medical Encyclopedia." U.S National Library of Medicine. U.S. National Library of Medicine, n.d. Web. 02 Mar. 2014.
Venes, Donald, ed. Taber's Cyclopedic Medical Dictionary. 21st ed. Philadelphia: F. A. Davis, 2009. Print.
Walsh, Brian K., Michael P. Czervinske, and Robert M. DiBlasi. "Meconium Aspiration Syndrome." Perinatal and Pediatric Respiratory Care. 3rd ed. St. Louis, MO: Saunders/Elsevier, 2010. 470-72. Print.
Wiswell, Thomas E. "Neonatal Resuscitation." Respiratory Care 48.3 (2003): 288-95. Print.

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