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