Meconium Aspiration and Tracheal Suctioning-Feasibility Study

Meconium Aspiration Syndrome and Non-vigorous Neonates-Pilot Study

Feasibility study to randomize non-vigorous newborn infants born through meconium-stained amniotic fluid to endotracheal suctioning or immediate resuscitation.

This will be a pilot feasibility trial of endotracheal intubation and suctioning versus routine resuscitation for term, non-vigorous newborns born through meconium-stained amniotic fluid to compare the incidence of meconium aspiration syndrome, extracorporeal membrane oxygenation or death.

Inclusion Criteria:

• Term newborns (>37 weeks of gestation)
• Delivery through meconium-stained amniotic fluid
• Mothers >18 years of age

Exclusion Criteria:

• No consent from mother
• Infant vigor at delivery (muscle tone and respiratory effort)
• Prenatally diagnosed major anomalies (excluding gastroschisis)
• Plan to not resuscitate infant
• Family does not speak English