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Role of Gastric Lavage in Vigorous Neonates Born with Meconium Stained Amniotic Fluid

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Abstract

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.

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Conflict of Interest

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Authors and Affiliations

  1. Department of Pediatrics, LLRM Medical College, Meerut, 250102, India

    Gaurav Ameta, Amit Upadhyay, Sunil Gothwal & Kuldeep Singh

  2. Department of Obstetrics, LLRM Medical College, Meerut, India

    Kirti Dubey & Abhilasha Gupta

Authors
  1. Gaurav Ameta
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  2. Amit Upadhyay
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  3. Sunil Gothwal
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  4. Kuldeep Singh
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  5. Kirti Dubey
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  6. Abhilasha Gupta
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Corresponding author

Correspondence to Amit Upadhyay.

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Ameta, G., Upadhyay, A., Gothwal, S. et al. Role of Gastric Lavage in Vigorous Neonates Born with Meconium Stained Amniotic Fluid. Indian J Pediatr 80, 195–198 (2013). https://doi.org/10.1007/s12098-012-0805-x

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  • DOI: https://doi.org/10.1007/s12098-012-0805-x

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