Ornament

The gentlebirth.org website is provided courtesy of
Ronnie Falcao, LM MS, a homebirth midwife in Mountain View, CA

Ornament

Abstract - Equivalence of Bulb Suctioning and DeLee Suctioning for Meconium

The Best Thing You Can Do for Mothers, Babies, Birth and Families is to Become Net Savvy!

I just had my mind expanded this morning by Laureen Hudson's hour long online session on how to use the internet to get a message out. Laureen's session “Creating an Online Presence," gave me a wealth of information in a short time and impressed me with how many people are out there who completely rely on the internet for their information. I needed that, and maybe you do, too.  

  - Ina May Gaskin 

 I just hung up the phone from doing the hour long session with Laureen Hudson on “Creating an Online Presence”.  Laureen’s know-how and expertise were enough to wake up even the birth oldtimers like me and Ina May to the many unused opportunities of the internet.  Laureen’s engaging and easygoing teaching style made even those scary (to me) terms like “hypertext, streaming, wordpress, technorati, feedreader and trackback” start to make sense.  Her passion is to reach the generation of young women who have not yet given birth BEFORE they fall into the black hole of aggressive obstetrics.  I came away from the class today with lots of ways to improve my website and make it more modern, usable and interesting for readers.  This class will run again this coming Friday (August 22) and I heartily recommend it.  
- Gloria Lemay


 
REGISTER NOW! SPACE IS LIMITED! 

Cost: $35 per session 

Each session will be 60 minutes in length 

Creating An Online Presence
Sunday, September 7 at 5:00 p.m. Pacific / 8:00 p.m. Eastern
Friday, September 19 at 12:00 p.m. Pacific / 3:00 p.m. Eastern
Monday, September 22 at 9:00 a.m. Pacific / 12:00 p.m. Eastern 

Search! 
This session will include a case study of Dr. Amy and how we shoot ourselves in the collective feet by visiting and commenting on her website.  (PS Hope you enjoyed the Gotcha! page from our last email!)
Sunday, October 5 at 5:00 p.m. Pacific / 8:00 p.m. Eastern
Friday, October 24 at 12:00 p.m. Pacific / 3:00 p.m. Eastern
Monday, October 27 at 9:00 a.m. Pacific / 12:00 p.m. Eastern   

Intrapartum suctioning of meconium: comparative efficacy of bulb syringe and De Lee catheter.

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.


Delivery room management of meconium staining of the amniotic fluid and the development of meconium aspiration syndrome.

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.



This Web page is referenced from another page containing related information about Meconium

 




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