การวิเคราะห์ผลของการใส่ท่อช่วยหายใจและดูดขี้เทาผ่านหลอดลมคอโดยใช้วิธีการทบทวนวรรณกรรมอย่างเป็นระบบและการวิเคราะห์เชิงอภิมาน

A condition in which infants pass meconium in amniotic fluid is called ” meconium-stained amniotic fluid (MSAF),” Obstetricians, pediatricians, and neonatologists should monitor these babies closely. The incidence of meconium-stained amniotic fluid (MISAF) is generally about 8-25% of all birth and increasing with advanced gestational age 12. The 2-10% of which, maybe complicated with meconium aspiration syndrome (MAS)Y. The severity of MISAF is quite variable; some of the neonates result in persistent hypertension of the newborn (PPHN),
Hypoxic-ischemic encephalopathy (HIE), hypotension, pneumothorax. The mortality rate is also high in MAS, nearly 4% of which may die”.
In 2000 Neonatal Resuscitation Program (NRP) guideline suggested that the non-vigorous infants born through MSAF should have received suctioning secretions of the mouth as well as pharynx before their shoulders have delivered, followed by endotracheal suctioning. In 2006
and 2011, the guideline for babies born non-vigorously with MSAF was changed to suction mouth and trachea under direct visualization, without the need for suctioning mouth, pharynx at the perineum soon after birth, Finally, the latest 2015 NRP, recommended not to do routinely tracheal suctioning in non-vigorous infants who delivered through MSAP, As a significant change in management of meconium-stained amniotic fluid in non-vigorous babies, the authors would like to know whether or not, and It will affect the outcomes of those patients as well as the complications.