Which of the following are recommendations for infants with meconium staining?
I. No intrapartum suctioning should occur.
II. Infants who are vigorous at birth should not receive tracheal suctioning.
III. Infants who are not vigorous may receive direct laryngotracheal suctioning.
IV. Intrapartum suctioning should not occur.

Question

Quizplus · Accepted Answer

Attempts to suction meconium from the pharynx or trachea before birth, during birth, or after birth increase the likelihood of severe aspiration pneumonia. Some obstetricians orally and nasally suction meconium-stained infants after delivery of the head but before delivery of the shoulders. However, a large, multicenter, randomized trial showed no benefit from this practice. Therefore, current recommendations for infants with meconium staining are the following:
$\bullet$ No intrapartum suctioning should occur.
$\bullet$ Infants who are vigorous at birth (i.e., strong respiratory effort, heart rate greater than 100 beats per minute, good muscle tone) should not receive tracheal suctioning.
$\bullet$Infants who are not vigorous (i.e., no or poor respiratory effort, heart rate less than 100 beats per minute, poor muscle tone) may receive direct laryngotracheal suctioning.

Which of the Following Are Recommendations for Infants with Meconium