Hi Sue: I found this one on pubmed after entering: neonates AND "gastric lavage". marilyn
Eur J Pediatr. 1999 Apr;158(4):315-7. Related Articles, Links
Is gastric lavage needed in neonates with meconium-stained amniotic fluid?
Narchi H, Kulaylat N.
Saudi Aramco - Al-Hasa Health Center, Saudi Aramco Medical Services
Organization, Saudi Aramco, Mubarraz, Saudi Arabia. [EMAIL PROTECTED]
We compared the incidence of complications from meconium-containing gastric
fluid in a group of neonates born with meconium-stained amniotic fluid
(MSAF) who did not routinely have gastric lavage prior to feeds, versus a
group who had elective gastric lavage before the first feed. In the first
group, 275 neonates born with MSAF were fed without prior gastric lavage.
While 13 developed feeding problems, the other 262 infants (95%) who did not
undergo routine gastric lavage remained free of later feeding difficulties
or secondary meconium aspiration. In the second group, all 227 neonates with
MSAF had elective gastric lavage performed after birth. All remained free of
later feeding difficulties or secondary meconium aspiration. CONCLUSION: Our
data suggest that gastric lavage is not necessary in most neonates born with
meconium-stained amniotic fluid, regardless of the thickness of the
meconium-stained fluid, as no complications from meconium-containing gastric
fluid were observed.
Publication Types:
a.. Clinical Trial
b.. Randomized Controlled Trial
----- Original Message -----
From: "Sue Cookson" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Monday, June 06, 2005 1:17 AM
Subject: Re: [ozmidwifery] gastric washes
> Hi all,
> Need your help finding references/articles on gastric washes for
> neonates, also any first hand observations or thoughts.
> I've just returned from a week in Adelaide doing a postpartum placement
> and was amazed to see so many gastric washes being done.
> When I queried the practice and asked for protocols and policies to look
> at, I was told that 'we've been doing them for 30 years and they work'.
> To hell with best practice and evidence!!
>
> Any comments would be welcomed,
> Sue
> --
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