All issues > Volume 31(11); 1988

Original Article

J Korean Pediatr Soc. 1988;31(11):1425-1431. Published online November 30, 1988.

A Study of Meconium Aspiration Syndrome.

Chae Sup Yoo¹, Mee Kyung Kim¹, Keun Lee¹, Jae Sun Jung²

¹Department of Pediatrics, College of Medicine, Ewha Womans University, Seoul, Korea
²Department of Pediatrics, Yeongdeungpo Municipal Hospital, Seoul, Korea

Received: November 14, 1987;  Accepted: July 25, 1988.

Abstract

The authors observed 51 cases of meconium aspiration syndrome in newborns who were bom at Ewha Womans University Hospital during the period of January 1986 through May, 1987. The results are summarized as follows: 1) The incidence of meconium aspiration syndrome was 1.6% (51 cases). 2) There was a significantly greater incidence of developing meconium aspiration syndrome in meconium stained babies who had toxemia mothers and low Apgar scores at 1 and 5 minutes. 3) The clinical findings of meconium aspiration syndrome were meconium staining, delayed initial crying, cyanosis, tachypnea, chest retraction, and fetal distress. 4) Chest X-ray findings of infants with meconium aspiration syndrome were infiltration, hyperinfla- tion, pneumothorax, and atelectasis. 5) Tracheal suctions via endotracheal intubation were done before the 1st breath or within post- natal 12 hours. 6) The modes of therapy were immediate tracheal suctioning, antibiotics, oxygen via nasal catheter or endotracheal tube, closed thoracotomy with chest tube insertion, or assisted ventilation.

Keywords :Meconium aspiration syndrome