Contents

SynopsisCodesDifferential Diagnosis & PitfallsReferences
Emergency: requires immediate attention
Meconium aspiration syndrome
Other Resources UpToDate PubMed
Emergency: requires immediate attention

Meconium aspiration syndrome

Contributors: David Sullo MD, Eric Ingerowski MD, FAAP
Other Resources UpToDate PubMed

Synopsis

Neonatal respiratory distress due to inhalation of meconium containing amniotic fluid prior to or during delivery. Presentation may range from mild to severe. Onset may be observed during first breaths or within hours to days following birth. Characterized by tachypnea, cyanosis, grunting, and retractions. Other signs and symptoms are meconium staining on skin, nails, and trachea. There may be signs of hypoxia, hypercarbia, abdominal breathing, flattening of diaphragm, and persistent pulmonary hypertension. It can be life-threatening and require mechanical ventilation.

Aspirated meconium particulate matter can lead to infection, surfactant inactivation, pulmonary damage, pneumothorax, obstructed airway, asphyxiation, and respiratory failure of the fetus or newborn.

Codes

ICD10CM:
P24.00 – Meconium aspiration without respiratory symptoms
P24.01 – Meconium aspiration with respiratory symptoms

SNOMEDCT:
206292002 – Meconium Aspiration Syndrome

Differential Diagnosis & Pitfalls

Any of the other cardiorespiratory conditions common in the neonatal period should be considered (and can be present as co-morbidities), including:

References

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Last Updated:09/12/2016
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Emergency: requires immediate attention
Meconium aspiration syndrome
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A medical illustration showing key findings of Meconium aspiration syndrome (Meconium Aspiration Syndrome) : Shortness of breath, Cyanosis, Hypoxemia, Acidosis, Tachypnea, Hypoxia
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