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Predictors for Meconium Aspiration Syndrome (MAS)

Purpose: To identify predictors for the Meconium Aspiration Syndrome (MAS) based on the study of Karabayir et al.

Description

Karabayir et al identified factors associated with the development of Meconium Aspiration Syndrome (MAS). A neonate judged to be at risk may benefit from more aggressive management. The authors are from Istanbul Medipol University and Kanuni Sultan Suleyman Education and Research Hospital in Turkey.


Patient: neonate with meconium-stained amniotic fluid

 

Frequency of MAS development: 5%

 

Predictors of MAS:

(1) 5-minute Apgar score

(2) low blood pH (7.32 +/- 0.12 vs 7.42 +/- 0.10 in MAS-free neonates)

(3) blood lactate concentration (8.5 +/- 3.4 mmol/L, vs 3.8 +/- 2.0 in MAS-free neonates)

 

For the implementation the following cutoffs will be used:

(1) 5-minute Apgar score < 7

(2) blood pH < 7.3

(3) blood lactate > 5 mmol/L


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Specialty

Objective

ICD-10