Article |

Suctioning the Meconium-Stained Infant

Am J Dis Child. 1988;142(7):698-699. doi:10.1001/archpedi.1988.02150070012003.
Text Size: A A A
Published online

Sir.—The article by Sepkowitz1 in the October 1987 issue of AJDC left the impression that suctioning the meconium-stained infant at birth is simply defensive medicine and has no clinical merit. In our institution, the motivation for performing routine suctioning is to prevent the meconium aspiration syndrome, not fear of legal action. We have found these techniques to be effective, safe, and relatively simple and inexpensive.2

While Dr Sepkowitz decried this practice because he believes it is purely defensive medicine, he did not analyze his data for efficacy in the reduction of mortality. He reported three deaths from meconium aspiration among 1532 live births for the years 1973 through 1982. He did not mention the number of deaths from meconium aspiration among the 402 live births in the years 1983 through 1985, but he did report an improvement in the neonatal mortality rate.

During a comparable period from


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.