Solaz-García AJ, Segovia-Navarro L, Rodríguez de Dios-Benlloch JL, Benavent-Taengua L, Castilla-Rodríguez DY, Company-Morenza MA. Prevention of meconium obstruction in very low birth weight preterm infants.
ENFERMERIA INTENSIVA 2018;
30:72-77. [PMID:
30245147 DOI:
10.1016/j.enfi.2018.06.002]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2017] [Revised: 06/08/2018] [Accepted: 06/08/2018] [Indexed: 10/28/2022]
Abstract
INTRODUCTION
Delayed meconium expulsion is a cause of bowel obstruction in the extremely premature newborn (<28 WGE) weighing less than 1500g at birth.
OBJECTIVE
To evaluate the efficacy of conservative treatment in the prevention of meconium obstruction in very-low-birt- weight preterm infants.
METHOD
Descriptive and retrospective study performed at the Neonatal Intensive Care Unit of a tertiary level hospital. All very-low-birth-weight preterm infants who were born during the study period, from August 2016 to January 2017, and who had meconium obstruction were included.
RESULTS
A sample of 42 newborn infants was obtained. Regarding the expulsion of meconium, 57.1% of the sample spontaneously ejected meconium, while 42.9% received different treatments. Of these, 72.2% were treated with saline enemas, 16% with acetylcysteine enemas, 16% with Gastrografin® and none required surgical treatment.
CONCLUSION
Conservative treatment seems to be an effective therapeutic measure for the prevention of meconium obstruction in very-low-birth-weight preterm infants since it achieved the expulsion of meconium without having to apply surgical treatment.
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