The gentlebirth.org website is provided courtesy of
Ronnie Falcao, LM MS, a homebirth midwife in Mountain View, CA
An interactive resource for moms on easy steps they can take to reduce exposure to chemical toxins during pregnancy.
Other excellent resources about avoiding toxins during pregnancy
These are easy to read and understand and are beautifully presented.
Authors: Cohen-Addad N. Chatterjee M. Bautista A. Source: Journal of Perinatology. 7(2):111-3, 1987 Spring.Abstract
Intrapartum suctioning of the newborn's pharynx with a De Lee catheter
(DL) has reduced the incidence of meconium aspiration syndrome (MAS) in
neonates born with meconium staining of the amniotic fluid. However, the
bulb syringe (BLB) is used more often for this purpose because of greater
technical convenience. In a prospective study, 60 offspring of such deliveries
received intrapartum pharyngeal suctioning either by BLB (29 cases) or
by DL (31 cases), according to random selection. The presence and amount
of meconium in the trachea, incidence and severity of MAS, and mortality
from the disease were similar between the two groups. This study suggests
that the BLB is as effective as the DL for intrapartum removal of nasopharyngeal
meconium in deliveries with meconium staining of the amniotic fluid. Since
the BLB is easier to use, less expensive and probably safer, our results
suggest that it may be the preferable method.
Authors: Hageman JR. Conley M. Francis K. Stenske J. Wolf I. Santi V. Farrell EE. Source: Journal of Perinatology. 8(2):127-31, 1988 Spring.Abstract
A 1-year prospective survey of obstetric and pediatric management of
meconium staining of the amniotic fluid in 464 patients was undertaken.
Pharyngeal suctioning before delivery was performed using bulb syringe
(N = 130), De Lee suction catheter (N = 186), or both (N = 98); endotracheal
intubation after delivery was also done in 413 instances. Using any of
the three suctioning techniques, no differences were seen in Apgar scores,
respiratory rates, presence or absence of meconium on or below the vocal
cords, or development of meconium aspiration syndrome (MAS). If meconium
was present on the vocal cords, it was present below the vocal cords in
76% of the cases. If no meconium was visualized, it was found below the
vocal cords in only 7% of the cases. Of the 142 infants with meconium below
the vocal cords, 10% developed MAS and all 14 survived.
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