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Effect of Endotracheal Suctioning on Infants Born through Meconium-Stained Amniotic Fluid: A Meta-analysis.
- Source :
- American Journal of Perinatology; Sep2023, Vol. 40 Issue 12, p1272-1278, 7p
- Publication Year :
- 2023
-
Abstract
- Objective Meconium is a common finding in amniotic fluid and placental specimens, particularly in term and post-term pregnancies. The objective of this paper was to perform a meta-analysis to examine the impact of endotracheal suctioning on the occurrence of meconium aspiration syndrome (MAS), mortality, and complications. Study Design PubMed, EMBASE, and the Cochrane library were systematically searched for comparative studies. Odds ratios (ORs), weighted mean differences (WMDs), and corresponding 95% confidence intervals (CIs) were used to compare the outcomes. Results Twelve studies were included in the meta-analysis. There were no significant impacts of endotracheal suctioning on the occurrence of MAS (OR = 3.05, 95% CI: 0.48–19.56), mortality (OR = 1.25, 95% CI: 0.35–4.44), the need for mechanical ventilation (OR = 4.20, 95% CI: 0.32–54.72), the occurrence of pneumothorax (OR = 0.99, 95% CI: 0.34–2.85), persistent pulmonary hypertension of the newborn (PPHN), (OR = 1.31, 95% CI: 0.58–2.98), hypoxic-ischemic encephalopathy (HIE) (OR = 0.82, 95% CI: 0.52–1.30), and length of stay (WMD = −0.11, 95% CI: −0.99–0.77). Conclusion Routine endotracheal suctioning at birth is not useful in preventing MAS, mortality, mechanical ventilation, PPHN, HIE, and prolonged length of stay in neonates born through MSAF. Key Points Routine suctioning is not recommended for newborns. Endotracheal aspiration is not beneficial for MAS. Future research may focus on selected neonates. [ABSTRACT FROM AUTHOR]
- Subjects :
- ENDOTRACHEAL suctioning
ONLINE information services
MEDICAL databases
LENGTH of stay in hospitals
META-analysis
MEDICAL information storage & retrieval systems
CONFIDENCE intervals
SYSTEMATIC reviews
MECONIUM aspiration syndrome
SURGICAL complications
RISK assessment
ARTIFICIAL respiration
MEDLINE
ODDS ratio
DISEASE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 07351631
- Volume :
- 40
- Issue :
- 12
- Database :
- Complementary Index
- Journal :
- American Journal of Perinatology
- Publication Type :
- Academic Journal
- Accession number :
- 170719378
- Full Text :
- https://doi.org/10.1055/s-0041-1741034