Meconium aspiration digital illustration

Meconium aspiration Save


ICD-10 code: P24.0

Chapter: Certain conditions originating in the perinatal period

Understanding Meconium Aspiration

Meconium aspiration is a condition that occurs when a newborn inhales meconium (the baby's first stool) into the lungs either before or during birth. This can cause breathing difficulties, infection, and other complications, which can be life-threatening if not managed promptly.

Here are some key points to keep in mind about meconium aspiration:

  1. It occurs in about 5-10% of births and is more common in babies who are post-term, have fetal distress, or are born through meconium-stained amniotic fluid.
  2. The symptoms of meconium aspiration can include rapid breathing, grunting, chest retractions, and bluish skin color. In severe cases, the baby may need mechanical ventilation or extracorporeal membrane oxygenation (ECMO) to support breathing.
  3. The diagnosis of meconium aspiration is typically made based on the presence of meconium in the amniotic fluid or in the baby's airways. Additional tests, such as chest X-rays or blood gas analysis, may be used to determine the severity of the condition.
  4. Treatment for meconium aspiration may include suctioning of the airways, oxygen therapy, antibiotics to prevent infection, and other supportive measures. In some cases, surgery may be needed to remove meconium from the lungs.
  5. Prevention of meconium aspiration involves careful monitoring of the baby's condition during labor and delivery, and prompt intervention if meconium is present in the amniotic fluid. In some cases, a cesarean section may be recommended if the risk of meconium aspiration is high.

If you suspect that your newborn may be experiencing meconium aspiration, it is important to seek medical attention immediately. With prompt diagnosis and treatment, most babies with meconium aspiration recover without long-term complications. However, in severe cases, the condition can lead to permanent lung damage or even death.

Overall, meconium aspiration is a serious condition that requires careful management by a team of healthcare professionals. By understanding the causes, symptoms, and treatment options for this condition, parents and caregivers can be better equipped to recognize and respond to it if it occurs.