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How does meconium aspiration syndrome affect a newborn?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My daughter born seven days back is suffering from meconium aspiration syndrome (MAS). I would like to know, how we measure her growth of lung capacity.

Answered by Dr. Gunda Srinivas

Education:

MBBS

Professional Bio:

Dr. Gunda Srinivas is a highly experienced Pediatrician with extensive years of clinical expertise in Child Health. He provides comprehensive care for infants, children, adolescents, and young adults, focusing on their growth, development, and overall well-being. Dr. Srinivas is dedicated to diagnosing and treating childhood illnesses while also guiding preventive care, immunizations, and health education. His compassionate approach ensures that both children and parents feel supported throughout the care journey.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

In newborns measurement of lung capacity is not as useful as in adults.

Important clinical signs of respiratory effort, respiratory rate and the X-rays that had showed the meconium aspiration syndrome (MAS) and also the general condition of baby. These are the important parameters that show the improvement rather than just lung capacity.

I hope this helps.

Thank you and take care.

Regards.

Patient's Query

Thank you doctor,

On HFO ventilation she has 100% saturation now which has improved from 40% on 1st day. Efforts are in progress to move her to conventional ventilator, but her saturation falls to around 85% in it within two hours. On 1st day she was administered surfactant to improve lung capacity. Her X-rays have shown over 50% improvement (it was whiteout on 1st day). I would like to know what additional measures can be taken to improve her lung capacity so that she sustains on conventional ventilator. She had shown severe PPHN as well four days back.

Answered by Dr. Gunda Srinivas

Education:

MBBS

Professional Bio:

Dr. Gunda Srinivas is a highly experienced Pediatrician with extensive years of clinical expertise in Child Health. He provides comprehensive care for infants, children, adolescents, and young adults, focusing on their growth, development, and overall well-being. Dr. Srinivas is dedicated to diagnosing and treating childhood illnesses while also guiding preventive care, immunizations, and health education. His compassionate approach ensures that both children and parents feel supported throughout the care journey.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I can make out that the medical team there is doing a great job for your baby.

Persistent pulmonary hypertension (PPHN) is a known complication of meconium aspiration syndrome, expected in such babies. Clinically too the baby's condition suggests PPHN. PPHN management is mainly ventilation with HFO (high frequency oscillatory ventilator). If not much improvement, some other group of medication can be tried depending upon baby's condition and the experience of the team. Medications like pulmonary vasodilators - Sildenafil, Bosentan can be tried. But, they have their own complications and have to be used upon clinician's discretion and baby's condition. Please understand your baby's condition from the medical team's counseling and follow their advice. Wishing a speedy recovery of your baby!

Medically reviewed by Dr. Sneha Kannan
Published At February 20, 2016
Reviewed At August 16, 2023

Education:

MBBS

Professional Bio:

Dr. Gunda Srinivas is a highly experienced Pediatrician with extensive years of clinical expertise in Child Health. He provides comprehensive care for infants, children, adolescents, and young adults, focusing on their growth, development, and overall well-being. Dr. Srinivas is dedicated to diagnosing and treating childhood illnesses while also guiding preventive care, immunizations, and health education. His compassionate approach ensures that both children and parents feel supported throughout the care journey.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

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Newborn Meconium Aspiration Syndrome Awareness Builder

Meconium Aspiration Syndrome: Build Your Awareness Map.

Five quick questions to help you understand the typical progression, what to discuss with your medical team, and when to seek immediate attention for your newborn with Meconium Aspiration Syndrome.

This tool provides general information and is not a substitute for professional medical advice. Medications should be taken after consulting a physician. The dosages will be prescribed by the physician. Do not alter, start, or stop medications without consulting a healthcare professional.

Education:

MBBS

Professional Bio:

Dr. Gunda Srinivas is a highly experienced Pediatrician with extensive years of clinical expertise in Child Health. He provides comprehensive care for infants, children, adolescents, and young adults, focusing on their growth, development, and overall well-being. Dr. Srinivas is dedicated to diagnosing and treating childhood illnesses while also guiding preventive care, immunizations, and health education. His compassionate approach ensures that both children and parents feel supported throughout the care journey.

This doctor is not available for online consultations on the platform anymore.

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