Gastric lavage for prevention of feeding problems in neonates with meconium-stained amniotic fluid: a randomised controlled trial

Sharma, Preeti; Nangia, Sushma; Tiwari, Soumya; Goel, Ankita; Singla, Bhupesh; Saili, Arvind

doi:10.1179/2046905513y.0000000103

Cited by 17 publications

(21 citation statements)

References 15 publications

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“…However, in a large RCT study done at our center in vigorous babies with MSAF, no difference in the incidence of feeding problems or secondary MAS was observed between the lavage and nonlavage group. 49 Similar results have been shown in other trials with no clear demonstrable benefits of this practice. 50,51 Most of these studies have included only vigorous neonates who might not have had prolonged meconium exposure in utero.…”

Section: Nasogastric Aspirationsupporting

confidence: 77%

Meconium aspiration syndrome: challenges and solutions

Goel¹,

Nangia²

2017

RRN

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Meconium aspiration syndrome (MAS) is an important cause of morbidity and mortality among term newborns. A result of antepartum or postpartum aspiration of meconium stained amniotic fluid (MSAF), MAS causes respiratory distress of varying severity, often complicated by air leaks or persistent pulmonary hypertension (PPHN). There has been a tremendous change in the concepts of pathophysiology and management of MAS over the last few decades. Routine endotracheal suctioning is no longer recommended in both vigorous and nonvigorous neonates with MSAF. Supportive management, along with newer therapies such as surfactant, inhaled nitric oxide, and high-frequency ventilation, has resulted in marked improvement in the overall outcome of MAS. The present review highlights the challenges in understanding the complex pathophysiology and optimal management approach to MAS. Potential future therapies and drugs in trial are also discussed briefly.

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Section: Nasogastric Aspirationsupporting

confidence: 77%

Meconium aspiration syndrome: challenges and solutions

Goel¹,

Nangia²

2017

RRN

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“…Sharma et al :17 This was a single-centre RCT from India. Neonates >34 weeks were randomised to undergo GL or no intervention immediately after delivery.…”

Section: Resultsmentioning

confidence: 99%

“…13 14 17 18 Only 2/6 (33%) were considered to have low risk of bias for ‘allocation concealment’ 13 17. For the domain of ‘blinding of participants and personnel’, 3/6 (50%) carried low ROB.…”

Section: Resultsmentioning

confidence: 99%

Effect of gastric lavage on feeding in neonates born through meconium-stained liquor: a systematic review

Deshmukh

Balasubramanian

Rao

et al. 2015

Arch Dis Child Fetal Neonatal Ed

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“…Distensi abdomen pada BBLR yang mengalami intoleransi pemberian minum enteral disebabkan oleh gangguan pada proses perjalanan mekonium dan penurunan bising usus (Sharma et al, 2013). Posisi pronasi meningkatkan pertukaran gas dengan menurunkan tekanan pleura dan meningkatkan area ventilasi rongga diafragma, sehingga dapat menurunkan distensi abdomen.…”

Section: Pembahasanunclassified

Sleep Positioning in Low Birth Weight Infants to Reduce Enteral Feeding Intolerance

Astuti¹,

Rustina

Waluyanti

2018

Nurscope

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AbstrakPendahuluan: Intoleransi pemberian minum enteral merupakan masalah yang sering terjadi pada bayi berat lahir rendah. Penelitian bertujuan untuk menganalisis pengaruh pengaturan posisi tidur pada bayi berat lahir rendah terhadap kejadian intoleransi pemberian minum enteral. Metodologi: Desain penelitian adalah kuasi eksperimen pada 20 bayi berat lahir rendah dengan teknik purposive sampling. Bayi dikelompokkan menjadi kelompok intervensi dan kontrol. Bayi pada kelompok kontrol dilakukan intervensi sesuai standar prosedur rutin; sedangkan pada kelompok intervensi dilakukan pengaturan posisi tidur pronasi setelah pemberian minum enteral dan meninggikan bagian kepala tempat tidur 30 derajat selama pemberian minum enteral. Hasil: Analisis uji t independen dan Fisher's Exact Test menunjukkan bahwa pengaturan posisi tidur dapat menurunkan kejadian desaturasi (p value = 0,011), distensi abdomen (p value = 0,017), dan frekuensi muntah (p value = 0,035). Diskusi: Perawat dapat menjadikan intervensi pengaturan posisi tidur sebagai standar prosedur operasional pada bayi berat lahir rendah yang mengalami intoleransi pemberian minum enteral. Kata kunci: bayi berat lahir rendah, intoleransi pemberian minum enteral, pengaturan posisi tidur Sleep Positioning in Low Birth Weight Infants to Reduce Enteral Feeding Intolerance Abstract Introduction: Enteral feeding intolerance is a common problem in low birth weight infants. This study aimed to analyze the effects of sleep positioning on low birth weight infants on the occurrence of enteral feeding intolerance. Methodology: This quasi experiment was applied on 20 low birth weight infants with a purposive sampling technique. The infants were grouped into control and intervention. Infants in the control

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Gastric lavage for prevention of feeding problems in neonates with meconium-stained amniotic fluid: a randomised controlled trial

Abstract: Gastric lavage in newborns with meconium-stained amniotic fluid does not prevent or reduce the occurrence of feeding problems or secondary meconium aspiration syndrome.

Cited by 17 publications

References 15 publications

Meconium aspiration syndrome: challenges and solutions

Meconium aspiration syndrome: challenges and solutions

Effect of gastric lavage on feeding in neonates born through meconium-stained liquor: a systematic review

Sleep Positioning in Low Birth Weight Infants to Reduce Enteral Feeding Intolerance

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