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    Meconium Aspiration Syndrome

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    Dane Marie Balbiran
    Meconium aspiration syndrome occurs when a fetus experiencing distress passes meconium in utero which is then aspirated at birth. Risk factors include aging placenta, fetal hypoxia, prolonged labor, and maternal illnesses like gestational diabetes. A baby with meconium aspiration may be cyanotic, use extra breathing muscles, or lack breathing effort. Nursing interventions include suctioning meconium, oxygen administration, antibiotics if needed, chest physiotherapy, and monitoring for respiratory distress. The goals are to maintain breathing and circulation.

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    Meconium Aspiration Syndrome

    Uploaded by

    Dane Marie Balbiran
    414 views2 pages
    Meconium aspiration syndrome occurs when a fetus experiencing distress passes meconium in utero which is then aspirated at birth. Risk factors include aging placenta, fetal hypoxia, prolonged labor, and maternal illnesses like gestational diabetes. A baby with meconium aspiration may be cyanotic, use extra breathing muscles, or lack breathing effort. Nursing interventions include suctioning meconium, oxygen administration, antibiotics if needed, chest physiotherapy, and monitoring for respiratory distress. The goals are to maintain breathing and circulation.

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    Meconium aspiration syndrome occurs when a fetus experiencing distress passes meconium in utero which is then aspirated at birth. Risk factors include aging placenta, fetal hypoxia, prolonged labor, and maternal illnesses like gestational diabetes. A baby with meconium aspiration may be cyanotic, use extra breathing muscles, or lack breathing effort. Nursing interventions include suctioning meconium, oxygen administration, antibiotics if needed, chest physiotherapy, and monitoring for respiratory distress. The goals are to maintain breathing and circulation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    414 views2 pages

    Meconium Aspiration Syndrome

    Uploaded by

    Dane Marie Balbiran
    Meconium aspiration syndrome occurs when a fetus experiencing distress passes meconium in utero which is then aspirated at birth. Risk factors include aging placenta, fetal hypoxia, prolonged labor, and maternal illnesses like gestational diabetes. A baby with meconium aspiration may be cyanotic, use extra breathing muscles, or lack breathing effort. Nursing interventions include suctioning meconium, oxygen administration, antibiotics if needed, chest physiotherapy, and monitoring for respiratory distress. The goals are to maintain breathing and circulation.

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    Balbiran, Dane Marie B.

    Ombrosa, Chenil G.

    Meconium Aspiration Syndrome

    Description:
    This is the aspiration of stained amniotic fluid. When a fetus is under distress, the vagal
    stimulation leads to peristalsis and relaxation of the anal sphincter. Meconium is
    released and is mixed within the amniotic fluid. Babies who breathe in the stained
    amniotic fluid may develop cyanosis, may use extra muscles to breathe, and be limp at
    birth. Other babies may lack respiratory effort altogether.

    Etiology:
    Circumstances that put stress on the baby include the following:

    • “aging” of the placenta. This is typically seen in post term babies.

    • Decreased oxygen to the infant while in the uterus. Babies may develop hypoxia due
    to cord compression, nuchal cord, or placental-utero insufficiency.

    • Prolonged labor may also put the fetus under distress.

    • Maternal illnesses: gestational diabetes and gestational hypertension categorize the


    pregnancy as a high risk and puts the baby at risk for complications such as MAS.

    Nursing Diagnosis
    Ineffective breathing pattern related to meconium aspiration.

    Subjective data:

    Mother’s report of yellow/green discharge

    Objective data:

    tachypnea, nasal flaring, expiratory grunting, retractions, and yellow-green staining of


    skin.

    Nursing Interventions
    1. Elevate the head of the infant and turn to sides

    1. To improve bronchial drainage

    2. Perform suctioning of the meconium stained amniotic fluid using a suctioning


    machine or a suctioning build syringe

    1. Facilitate expulsion of the meconium

    3. Perform oxygen administration and ventilation

    1. To maintain PO2

    4. Provide antibiotic therapy as ordered by the doctor

    1. May be used to forestall the development of pneumonia as a secondary


    problem

    5. Observe infant closely for signs of respiratory distress and increased heart rate

    1. Monitor possible heart failure

    6. Perform chest physiotherapy

    1. To encourage removal of remnants of meconium from the lungs

    7. Maintain a temperature neutral environment

    1. Prevent increasing metabolic demands

    Nursing Outcomes
    • Patient maintains an effective breathing pattern, as evidenced by relaxed breathing at
    a normal rate and depth, with absence of dyspnea.

    • Patient maintains good capillary refill by pressing on the sternum for five seconds
    with a finger or thumb and noting the time needed for color to return once pressure is
    released.

    Reference:

    Pillitteri, A. 2010, “Maternal and Child Health Nursing” 6th Edition.

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