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MoonDragon's Birthing Guidelines - Variations of Labor & Birth
Meconium Stained Amniotic Fluid Guidelines

If meconium is seen at rupture of membranes, the midwife should auscultate fetal heart tones immediately to rule out fetal distress.

In the event that fetal distress is suspected or if there is particulate or thick meconium, transfer to a medical facility immediately for further assessment by the client's health care provider.

If transfer is impossible because birth is imminent, the midwife should:

  • DeLee on perineum until no meconium in trap (or continue to DeLee after birth)
  • Have neonatal resusitation equipment readily available.

If the parents decline immediate postpartum transfer, the midwife should:

  • Assess lungs and respiratory status every 1-2 hours for 24 hours.
  • Instruct parents on signs and symptoms of respiratory distress.


MoonDragon's Birthing Guidelines Index

MoonDragon' Birthing Guidelines - Variations of Labor & Birth

MoonDragon's Health Index Page

MoonDragon's ObGyn Information & Discussion Index by Subject Order

MoonDragon's ObGyn Information & Discussion Index by Alphabetical Order