Meconium stained fluid: approach to the mother and the baby

Clin Perinatol. 2007 Dec;34(4):653-65, viii. doi: 10.1016/j.clp.2007.10.005.


Meconium aspiration syndrome (MAS) is a common problem that most pediatricians will encounter in the delivery room and normal newborn nursery. Approximately 13% of all live births are complicated by meconium stained amniotic fluid (MSAF). MAS is defined as respiratory distress in an infant born through MSAF whose symptoms cannot be otherwise explained. Optimal care for an infant born through MSAF involves cooperation between the obstetrician and pediatrician, each with separate but imperative roles.

Publication types

  • Review

MeSH terms

  • Administration, Inhalation
  • Bronchoalveolar Lavage
  • Bronchodilator Agents / therapeutic use
  • Extracorporeal Membrane Oxygenation
  • Female
  • Humans
  • Infant, Newborn
  • Isotonic Solutions / administration & dosage
  • Meconium Aspiration Syndrome / diagnosis
  • Meconium Aspiration Syndrome / etiology
  • Meconium Aspiration Syndrome / prevention & control*
  • Nitric Oxide / therapeutic use
  • Pregnancy
  • Pulmonary Surfactants / therapeutic use
  • Respiratory Distress Syndrome, Newborn / etiology
  • Respiratory Distress Syndrome, Newborn / therapy
  • Risk Factors
  • Suction


  • Bronchodilator Agents
  • Isotonic Solutions
  • Pulmonary Surfactants
  • Nitric Oxide