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Erschienen in:
01.03.2013 | Original Article
Role of Gastric Lavage in Vigorous Neonates Born with Meconium Stained Amniotic Fluid
Erschienen in: Indian Journal of Pediatrics | Ausgabe 3/2013
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Objective
To compare reduction in incidence of feed intolerance in neonates born with meconium stained amniotic fluid (MSAF) by use of gastric lavage to those who did not receive lavage.
Methods
This Randomized controlled trial was conducted in all vigorous newborns delivered through MSAF, with birth weight ≥1800 g and gestation ≥34 wk. In the lavage group, gastric lavage with 10 ml/kg of normal saline was done.
Results
Twelve neonates in the lavage group (n = 124) developed feed intolerance compared to 16 neonates in control group (n = 120), (p = .309; OR 0.69; 95%CI 0.27–1.58). No difference in any other morbidity was noted.
Conclusions
Gastric lavage in neonates with MSAF does not reduce feed intolerance, irrespective of thickness of MSAF and it confers no advantages.