Original Article
Journal of Perinatology (2005) 25, 694–697. doi:10.1038/sj.jp.7211385; published online 15 September 2005
Have the Year 2000 Neonatal Resuscitation Program Guidelines Changed the Delivery Room Management or Outcome of Meconium-Stained Infants?
Prakash M Kabbur DCH, MRCPCH1,2, Victor C Herson MD1,2, Sue Zaremba1,2 and Trudy Lerer MS3,4
- 1Department of Pediatrics (P.M.K., V.C.H., S.Z.), Divisions of Neonatology, Connecticut Children's Medical Center, Hartford, CT, USA
- 2University of Connecticut School of Medicine (P.M.K., V.C.H., S.Z.), Farmington, CT, USA
- 3Division of Research (T.L.), Connecticut Children's Medical Center, Hartford, CT, USA
- 4University of Connecticut School of Medicine, Farmington, CT, USA
Correspondence: Victor C. Herson, MD, Professor of Pediatrics, Director, Division of Neonatology, Connecticut Children's Medical Center, 282 Washington Street, Hartford, CT 06106, USA
Abstract
OBJECTIVE:
To study the impact of neonatal resuscitation program (NRP) guidelines on delivery room (DR) management of infants born through meconium-stained amniotic fluid (MSAF).
STUDY DESIGN:
A retrospective study of all term (
37 weeks) infants born through MSAF was performed. Patients were divided into two periods: pre year 2000 NRP and post year 2000 NRP. Meconium consistency, APGAR scores and intubation (INT) for suctioning and respiratory outcome were recorded. Groups were analyzed using 
2 tests and stepwise logistic regression.
RESULTS:
The incidence of MSAF remained constant in period 1 (13.6%) and period 2 (13.1%) while the proportion of infants intubated fell from 67 to 41% (p<0.001). The incidence of meconium aspiration and nonspecific respiratory distress did not differ between groups.
CONCLUSIONS:
Since the implementation of year 2000 NRP guidelines, the rate of DR INT for tracheal suctioning has fallen significantly without a change in overall respiratory complications. Results of this study support the efficacy of year 2000 NRP recommendations.
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