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Meconium Aspiration Syndrome

Signs, Symptoms and Treatment of MAS

By Lisa A. Goldstein

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As for the mother, the risks derive primarily from having a C-section, if that ends up being necessary, Dr. Hamvas says. Also risky are the pre- and perinatal conditions that can lead to the baby's distress that may precipitate the syndrome, Dr. Hirschman says. Then there's the more devastating psychological effect of having a newborn become critically ill, he adds.

Preventing MAS

"First and foremost, routine prenatal care to prevent complications of pregnancy, or to diagnose and treat them, is an absolute must for all pregnant women," Dr. Hirschman says. Following all the proper nutrition and lifestyle guidelines will help maintain a healthy pregnancy. Since even low-risk pregnancies can still end with meconium passage, Dr. Hirschman recommends that any women seeing green staining when her water breaks should alert her obstetrician so that proper monitoring and preventive measures may be instituted.

Delivering before 41 weeks has helped decrease the incidence and severity of problems associated with meconium, Dr. Hamvas says. This is actually one of the reasons why there have been fewer cases of MAS in 2008, according to Dr. Fanaroff, who says that approaches to the prevention of MAS have changed over time with more collaboration between obstetricians and pediatricians forming the foundations for care.

Keep in Mind...
  • Possible warning signs include lack of fetal movement before birth and/or green-stained amniotic fluid.
  • Routine prenatal care and maintaining a healthy pregnancy, as well as delivering before 41 weeks will help with prevention.


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