NRP Study Guide. Table of Contents will require neonatal resuscitation. On the other hand, almost one-quarter of neonatal deaths occur because of birth asphyxia, according to the medical journal The Lancet If meconium is absent - check to see if the baby is vigorous, CONTEXT. The 2010 American Academy of Pediatrics Neonatal Resuscitation Program and American Heart Association guidelines recommend clearing the airways in neonates born through clear amniotic fluid (i.e., not meconium-stained) with either a bulb syringe or suction catheter only if airway obstruction is evident or positive pressure ventilation (PPV) is required. Part 13: Neonatal Resuscitation If an infant is born through meconium-stained amniotic fluid and presents with poor muscle tone and The new or updated€guidelines are a summary of the evidence presented in the 2015 International Consensus The most recent guidelines are also reprinted in the appendix of the Textbook of Neonatal Resuscitation, 7th edition. The NRP education materials translate these guidelines into practice. The Obstetric Provider and Newborn Suctioning When the Amniotic Fluid is Meconium-stained In the past, obstetric management of the meconium-stained The current guidelines state that if the amniotic fluid contains thick meconium and the infant is depressed at birth (as indicated by absent or depressed respirations and decreased muscle tone) the infant should receive brief tracheal suctioning (if a person with the professional expertise to perform this procedure is available). Prevention and management of meconium aspiration syndrome; The indications and principles of neonatal resuscitation will be reviewed here. The physiological changes that occur in the transition from intrauterine to extrauterine life are discussed separately. Neonatal resuscitation in the Meconium aspiration syndrome (MAS) is defined as respiratory distress in newborn infants born through meconium-stained amniotic fluid Niermeyer S, Kattwinke