Investigation of intrapartum clearence of the upper airway in the presence of meconium contaminated amniotic fluid using an animal model

Pfenninger, E; Dick, Wolfgang; Brecht-Krauss, D.; Bitter, F.; Hofmann, H.; Bowdler, I.

doi:10.1515/jpme.1984.12.2.57

Cited by 5 publications

(1 citation statement)

References 34 publications

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“…By 2.5 hours, meconium was mostly confined to the lung parenchyma. Pfenninger et al 11 compared the efficacy of nasopharyngeal versus oropharyngeal suction in kittens using a DeLee and concluded that oropharyngeal suction was vastly superior. Dooley and associates 12 found that most deliveries (75%) in their study had no meconium below the vocal cords despite the presence of meconium-stained amniotic fluid.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Bulb Versus Delee Suction at Deliveries Complicated by Meconium-Stained Amniotic Fluid

Locus¹,

Yeomans²,

Crosby³

1990

Amer J Perinatol

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A combined obstetric-pediatric approach to the management of deliveries complicated by meconium-stained amniotic fluid has been recommended to decrease the incidence of meconium aspiration syndrome. Although pharyngeal suction with a DeLee catheter is generally recommended, many obstetricians prefer to use a bulb syringe for suction at the perineum. A thorough review of the literature reveals no prospective studies in humans comparing the two techniques. In the present study, these two techniques of pharyngeal suction were prospectively compared at deliveries complicated by meconium-stained amniotic fluid. Of the total 2874 deliveries, 127 (4%) were complicated by moderate or thickly meconium-stained amniotic fluid, and 107 of these were included in the study. There were 53 infants in the DeLee-suctioned group and 54 in the bulb-suctioned group. Of the 107 studied infants, four (4%) developed meconium aspiration syndrome, three in the DeLee group and one in the bulb group. There was no significant difference in the amount of meconium found below the vocal cords, comparing pharyngeal DeLee suction to bulb suction (0.22 cc versus 0.24 cc; p = NS). In conclusion, the data fail to support a significant difference in efficacy between bulb and DeLee suction in clearing the naso- and oropharynx of the neonate of meconium in cephalic-presenting vaginal or cesarean delivery.

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Section: Discussionmentioning

confidence: 99%

Efficacy of Bulb Versus Delee Suction at Deliveries Complicated by Meconium-Stained Amniotic Fluid

Locus¹,

Yeomans²,

Crosby³

1990

Amer J Perinatol

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Primäre Kaiserschnittentbindung mit und ohne antiretrotirale Prophylaxe und Prävention der materno-fetalen Transmission won HIV-1

Schäfer¹,

Friese²,

Grosch-Wörner³

et al. 1999

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz

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Primäre Kaiserschnittentbindung mit und ohne antiretrovirale Prophylaxe und Prävention der materno-fetalen Transmission von HIV-1

Schäfer

Friese²,

Grosch-Wörner

et al. 1999

Bundesgesundheitsbl

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Elective and emergency caesarean section, performed early in parturition under surgical care to avoid contamination, significantly decreases the risk of fetal transmission, irrespec-tive of low CD4 cell counts, p24 antigenemia, viral load and ROM, but not preterm labor. Simultaneous administration of AZT in gestation and to the newborn further reduces the risk of peripartal infections and obviously provides additional safety at caesarean sections.

show abstract

Investigation of intrapartum clearence of the upper airway in the presence of meconium contaminated amniotic fluid using an animal model

Cited by 5 publications

References 34 publications

Efficacy of Bulb Versus Delee Suction at Deliveries Complicated by Meconium-Stained Amniotic Fluid

Efficacy of Bulb Versus Delee Suction at Deliveries Complicated by Meconium-Stained Amniotic Fluid

Primäre Kaiserschnittentbindung mit und ohne antiretrotirale Prophylaxe und Prävention der materno-fetalen Transmission won HIV-1

Primäre Kaiserschnittentbindung mit und ohne antiretrovirale Prophylaxe und Prävention der materno-fetalen Transmission von HIV-1

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