Abstract
Meconium-stained amniotic fluid occurs in approximately 13% of normal pregnancies and 5% of these infants develop meconium aspiration syndrome. Meconium aspiration syndrome is mostly a problem of term and postterm infants. There may be mild tachypnea or dispnea, respiratory insufficiency and persistant pulmonary hypertension in meconium aspiration syndrome. Meconium aspiration syndrome has a complex pathophysiology. Babies with meconium aspiration syndrome have both acute effects and long term morbidities such as bronchial reactivity and wheezing. Although there is improvement in pathophysiology and treatment modalities, it is still difficult to treat meconium aspiration syndrome. In this paper, management of newborns with meconium stained amniotic fluid and meconium aspiration syndrome in antenatal, natal and postnatal period are reviewed.
Keywords
References
- 1. Zhang X, Kramer MS. Variations in mortality and morbidity by gestational age among infants born at term. J Pediatr. 2009; 154: 358–62.
- 2. Dargaville PA, Copnell B. Australian and New Zelland Neonatal Network. The epidemiology of meconium aspiration syndrome: Incidence, risk factors, therapies, andoutcome. Pediatrics. 2006; 117: 1712-21.
- 3. Crowley MA. Neonatal Respiratory Disorders. In Fanaroff and Martin’s Neonatal-Perinatal Medicine, Diseases of the Fetus and Infant, 10th ed (Eds RJ Martin, AA Fanaroff, MC Walsh): 1137-46. Philadelphia, Elsevier Saunders, 2015.
- 4. Abu-Shaweesh JM. Respiratory Disorders in Preterm and Term Infants. In Fanaroff and Martin’s Neonatal Perinatal Medicine, Diseases of the Fetus and Infant 9th ed (Eds RJ Martin, AA Fanaroff, MC Walsh): 1141-70. Philadelphia, Mosby Elsevier 2011.
Abstract
Mekonyumlu amniyon sıvısı normal gebeliklerin %13’ünde gözlenir ve bu hastaların %5’inde mekonyum aspirasyon sendromu gelişir. Mekonyum aspirasyon sendromu daha çok miadında ve postmatüre bebeklerde görülür. Mekonyum aspirasyon sendromunda hafif takipne ve dispneden ağır solunum yetmezliği ve persistan pulmoner hipertansiyona kadar değişen çok farklı bir klinik tabloya rastlanabilir. Mekonyum aspirasyon sendromu kompleks fizyopatolojiye sahip ciddi bir yenidoğan hastalığıdır. Yenidoğan döneminde mekonyum aspirasyon sendromu geçiren bebeklerde, akut etkilerin yanında uzun dönemde anormal bronşial reaktivite, hışıltılı solunum gibi solunum sistemi patolojilerine rastlanmaktadır. Tedavide birçok yardımcı, ilave tedaviler de kullanılmaya ve denenmeye devam edilmektedir. Bu derlemede amniyon sıvısı mekonyumlu olan ve mekonyum aspirasyon sendromlu bir bebeğin antenatal, natal ve postnatal dönemdeki yönetimi aktarılmıştır.
Keywords
References
- 1. Zhang X, Kramer MS. Variations in mortality and morbidity by gestational age among infants born at term. J Pediatr. 2009; 154: 358–62.
- 2. Dargaville PA, Copnell B. Australian and New Zelland Neonatal Network. The epidemiology of meconium aspiration syndrome: Incidence, risk factors, therapies, andoutcome. Pediatrics. 2006; 117: 1712-21.
- 3. Crowley MA. Neonatal Respiratory Disorders. In Fanaroff and Martin’s Neonatal-Perinatal Medicine, Diseases of the Fetus and Infant, 10th ed (Eds RJ Martin, AA Fanaroff, MC Walsh): 1137-46. Philadelphia, Elsevier Saunders, 2015.
- 4. Abu-Shaweesh JM. Respiratory Disorders in Preterm and Term Infants. In Fanaroff and Martin’s Neonatal Perinatal Medicine, Diseases of the Fetus and Infant 9th ed (Eds RJ Martin, AA Fanaroff, MC Walsh): 1141-70. Philadelphia, Mosby Elsevier 2011.
Details
| Subjects | Health Care Administration |
|---|---|
| Journal Section | Review |
| Authors | |
| Publication Date | June 30, 2017 |
| Acceptance Date | October 5, 2016 |
| Published in Issue | Year 2017 Volume: 26 Issue: 2 |
