Clinical Case Database / Category: Patient Management
Meconium aspiration syndrome
Publication details
Dr Hayley Djemai, Professor David Field
Foundation Years Journal, volume 8, issue 6, p.32 (123Doc Education, London, June 2014)
Abstract
Meconium aspiration syndrome (MAS) occurs when an infant passes meconium prior to delivery and in addition commences breathing in utero resulting in inhaled meconium. Both these events can be triggered by a degree of asphyxia. Delivery through meconium stained amniotic fluid (MSAF) is common, reported in 8-25% of births at >34 weeks, but the vast majority do not get MAS as there is no significant accompanying asphyxia. (1)
The incidence of MAS has decreased over time as a result of fewer babies being delivered post term. (2) The presence of meconium stained amniotic fluid is a common reason for the paediatric teams to be called to attend deliveries, and the initial assessment of severity of this condition depends upon identifying whether there is evidence of coexisting asphyxia. Prompt clinical management and communication between the obstetric and neonatal team is essential in securing a good outcome.
Access the Clinical Cases Database
A subscription is required to read the full article. Please subscribe using one of the options below.
| Product | Price | Subscription | |
|---|---|---|---|
| Foundation Years Clinical Cases Database | £29.00 | 6 months | |
| Foundation Years Clinical Cases Database | £39.00 | 12 months |
Authors
Dr Hayley Djemai (Corresponding author)
Foundation Year 2 Doctor
Univerity Hospitals Leicester, Neonatal Unit
Leicester Royal Infimary, Infimary Square, Leicester, LE1 5WW
hayley.djemai@gmail.com
Professor David Field
Consultant Neonatologist
Univerity Hospitals Leicester, Neonatal Unit
Leicester Royal Infimary, Infimary Square, Leicester, LE1 5WW
df63@le.ac.uk
References
2. Clark M. Meconium Aspiration Syndrome. eMedicine [internet]. [updated 2014 jan 15; cited 2014 Feb 28]; Available from:http://emedicine.medscape.com/article/974110-overview.
4. Yeh TF. Meconium Aspiration Syndrome: Pathogenesis and Current Management .Neoreview2010;11(9): 503-512. http://neoreviews.aappublications.org/content/11/9/e503.full (accessed 24 February 2014).
7. The Neonatal Chest X Ray. Paediatric Respiratory Reviews 2001; 4(2): 311-323. http://www.radiologygadget.com/neonatal chest.pdf (accessed 22 February 2014).
Disclaimers
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
Financial Statement
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
Animal & Human Rights
When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.