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American Heart Association, American Academy of Pediatrics.  In a randomized controlled trial involving 2514 full-term women with MSAF, Vain et al did not find intrapartum suctioning with a suction catheter to have a beneficial effect on need for endotracheal intubation, incidence of MAS, need for mechanical ventilation, and neonatal mortality.
Ante- and intra-partum factors that predict increased need for neonatal resuscitation. Oropharyngeal and nasopharyngeal suctioning of meconium-stained neonates before delivery of their shoulders: multicentre, randomised controlled trial. Although routine suctioning of the oropharynx is appropriate, current evidence argues against the efficacy of intrapartum suctioning of meconium with a De Lee suction catheter.
If meconium is present, and the newborn is depressed, the clinician should intubate the trachea and suction meconium from beneath the glottis."  Because meconium aspiration can occur before delivery as a consequence of chronic asphyxia and infection, perhaps the most important strategy for preventing MAS is good prenatal care, including the detection and prevention of fetal hypoxemia and the avoidance of postterm deliveries.
Part 11: Neonatal resuscitation: 2010 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Many experts recommend administration of continuous positive airway pressure (CPAP) to infants who are breathing spontaneously, but with difficulty, following birth, although its use has been studied only in infants born preterm.
Provincial Health Services Authority (PHSA) improves the health of British Columbians by seeking province-wide solutions to specialized health care needs in collaboration with BC health authorities and other partners.
Perinatal Services BC (PSBC) provides leadership, support, and coordination for the strategic planning of perinatal services in British Columbia and is the central source in the province for evidence-based perinatal information.
Family-Centered Maternity and Newborn Care: National Guidelines. Kimberlin LV, Kucera VS, Lawrence PB, Newkirk A, Stenske JE. In making this suggestion , the ILCOR Neonatal Task Force placed value on possible harm related to the procedure as well as potential benefits from the prompt initiation of resuscitation and assisted ventilation.
Elk Grove Village, Ill.: American Academy of Pediatrics; 205–249.10. Respiratory care practitioners as primary providers of neonatal intubation in a community hospital: an analysis. The 2015 guidelines state that “there is insufficient published human evidence to suggest routine tracheal intubation for suctioning of meconium in non-vigorous infants born through MSAF”.
The most recent ILCOR Neonatal Task Force consensus guidelines were published in October 2015.