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Randomized Controlled Trial
. 2013 Mar;80(3):195-8.
doi: 10.1007/s12098-012-0805-x. Epub 2012 Sep 19.

Role of gastric lavage in vigorous neonates born with meconium stained amniotic fluid

Gaurav Ameta  1 , Amit Upadhyay, Sunil Gothwal, Kuldeep Singh, Kirti Dubey, Abhilasha Gupta
Affiliations
Randomized Controlled Trial

Role of gastric lavage in vigorous neonates born with meconium stained amniotic fluid

Gaurav Ameta et al. Indian J Pediatr. 2013 Mar.

Abstract

Objective: To compare reduction in incidence of feed intolerance in neonates born with meconium stained amniotic fluid (MSAF) by use of gastric lavage to those who did not receive lavage.

Methods: This Randomized controlled trial was conducted in all vigorous newborns delivered through MSAF, with birth weight ≥1800 g and gestation ≥34 wk. In the lavage group, gastric lavage with 10 ml/kg of normal saline was done.

Results: Twelve neonates in the lavage group (n = 124) developed feed intolerance compared to 16 neonates in control group (n = 120), (p = .309; OR 0.69; 95%CI 0.27-1.58). No difference in any other morbidity was noted.

Conclusions: Gastric lavage in neonates with MSAF does not reduce feed intolerance, irrespective of thickness of MSAF and it confers no advantages.

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