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Essay / Research Paper Abstract
A 7 page discussion of the interventions typically made in newborns that have inhaled meconium contaminated amniotic fluid. Mechanical ventilation is one of the most common of these interventions. Mechanical ventilation does not
come without certain costs, however. Although these costs are considered as a necessity numerous efforts are underway to find alternative
interventions for MAS. Bibliography lists 6 sources.
Page Count:
7 pages (~225 words per page)
File: AM2_PPnrsVnt.rtf
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Unformatted sample text from the term paper:
twelve percent of live births in the U.S. are complicated by the presence of meconium stained amniotic fluid (Davis and Shekerdemian, 2001; Morabito and DiCarlo, 2005). Meconium is released
through the anal sphincter of these fetuses as a result of the intestinal peristalsis caused by pre-birth asphyxiation (Davis and Shekerdemian, 2001). When the embryo gasps in utero meconium
aspiration occurs (Davis and Shekerdemian, 2001). The meconium is drawn further into the respiratory system with the infants first breaths after birth (Davis and Shekerdemian, 2001). Thirty-five percent
of these infants develop Meconium Aspiration Syndrome (MAS) as a result of inhaling meconium stained fluid and of those thirty percent necessitate mechanical ventilation (Morabito and DiCarlo, 2005). Although
Davis and Shekerdemian (2001, F1) note that only one in five hundred births are characterized by severe MAS and "characterized by profound hypoxaemia, where the coexistence of parenchymal lung damage";
Morabito and DiCarlo (2005) suggest that mechanical ventilation necessitated by MAS is required in four percent of all the live births in the U.S. Mechanical ventilation does not come
without certain costs, however. Although these costs are considered as a necessity numerous efforts are underway to find alternative interventions for MAS.
When an infant inhales meconium several things occur. These include obstruction of the airways, "atelecctasis, air trapping, and pheumothorax" as well as "chemical pneumonitis and inactivation of surfactant" (Davis
and Shekerdemian, 200, F1). Although intrapartum suctioning is commonly employed in the delivery room to prevent infants from inhaling meconium, recent research suggests that is it largely ineffective in
preventing MAS (Cuttini, 2004). In the most recent study 2500 babies that had been exposed to Meconium stained amniotic fluid were partitioned into two groups, one in which suctioning
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