Meconium is the first baby excreta while it is still in the womb. During labor and delivery certain complications may arise when the amniotic fluid- the fluid present in the womb in which the baby floats- along with the meconium gets inhaled and enter the respiratory passage of the infant.
This leads to MAS or Meconium Aspiration Syndrome. This excreta mixed with fluid block the airway passage making it difficult for the baby to breathe. The treatment of this syndrome depends on the severity and the degree of exposure. Read the article carefully to know how to treat Meconium Aspiration Syndrome.
Different Ways To Treat Meconium Aspiration Syndrome
A baby who is exposed to Meconium but not severely and is breathing normally does not need any application of suction methods to get rid of the poison. The general procedure which the doctor follows is just to clear away the fluids from the mouth and nose area with the help of a catheter or bulb syringe. This may be followed by stimulation methods and administration of oxygen for complete revival and optimum breathing.
However, if the degree of exposure is comparatively more as indicated by labored breathing, decrease of activity and lower heart rates, immediate suction and intubation methods are applied by the physicians. This procedure is done immediately after the delivery. The process may or may not be repeated which depends on the retrieval of the poisonous fluids from the trachea. In case of low heart beat it is necessary to put your baby to ventilation for some time with sufficient oxygen to the lungs for the initiation of normal breathing procedure. This may again be followed by suction and intubation if the need seems to arise.
A baby severely exposed to Meconium is transferred to the neonatal ICU. Here the environment is designed in such a way that the baby does not have to work too hard in order to breath properly. The well maintained thermal atmosphere in the neonatal critical unit naturally decreases body’s oxygen consumption. Minimum handling of the babies to decrease anxiety and agitation coupled with careful sedation is necessary for post MAS recovery. Otherwise, increased agitation may lead to unnecessary increase in complications.
Physicians may deem it necessary to administer some antibiotics to both cure the problem as well as to protect the baby from cases of secondary infection. Similarly, surfactants may also be administered. Surfactants are drugs that dilate the baby’s lungs thus allow unhindered and complete air passage to the lungs initiating normal breathing gradually. It is up to the doctor to decide whether or not the surfactant dosage is needed.
Another treatment is the forced administered breathing of nitric oxide it dilates the pulmonary blood vessels allowing easier exchange of respiratory gases and initiate normal breathing mechanism to take over gradually. Also it is important to maintain an optimal hemoglobin level to keep the oxygen carrying capacity of the blood to a maximum.