Prise en charge périnatale des enfants nés avec un liquide méconial : de tout à rien ! (notice n° 1028639)
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|---|---|
| fixed length control field | 04096cam a2200289 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250125171851.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Chabernaud, Jean-Louis |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Prise en charge périnatale des enfants nés avec un liquide méconial : de tout à rien ! |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2018.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 93 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Le syndrome d’inhalation méconiale (SIM) reste une cause fréquente de détresse respiratoire sévère chez le nouveau-né à terme ou proche du terme. Grâce à l’amélioration de la coopération obstétricopédiatrique, l’approche de la prévention du SIM a beaucoup changé au cours des 15 dernières d’années. De nombreuses études ont permis de reconsidérer la prise en charge anténatale et en salle de naissance des nouveau-nés naissant dans un liquide méconial. Depuis que les obstétriciens ne laissent plus les grossesses dépasser le terme de 41 semaines d’aménorrhée, l’incidence des inhalations de liquide méconial a considérablement diminué. En présence d’un liquide méconial, une surveillance continue du rythme cardiaque fœtal au cours du travail permet de reconnaître et de prendre activement en charge une hypoxie fœtale débutante et de réduire le risque d’inhalation méconiale. L’amnio-infusion avant l’accouchement est actuellement abandonnée. De même, l’aspiration systématique oro – et nasopharyngée avant le dégagement des épaules et l’aspiration systématique dans la trachée (sous laryngoscope ou après intubation endotrachéale) ne sont plus recommandées. L’objectif essentiel est aujourd’hui de ventiler le nouveau-né asphyxique, né dans un liquide amniotique méconial, en pression positive sans délai (moins d’une minute), lorsqu’il présente d’importantes difficultés d’adaptation à la vie extra-utérine. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Despite improvement in obstetrical and neonatal care, meconium aspiration syndrome (MAS) continues to be a neonatal disorder with high morbidity and mortality. Since a decade, approaches to the prevention of MAS have changed over time with collaboration between obstetricians and pediatricians forming the foundations for care. The incidence of MAS and mortality related to MAS has progressively declined, most likely because of obstetric practices that have decreased the incidence of birth beyond 41 weeks of gestation. Today amnio-infusion, formerly proposed, is reconsidered in countries where midwives and obstetricians carefully monitor the fetal heart rate tracing during labor. Actually routine intrapartum oropharyngeal and nasopharyngeal suctioning, before and after shoulders delivery, followed by tracheal suction, are not recommended for infants born to mothers with meconium-stained amniotic fluid. Currently published human evidences do not support a recommendation for routine intubation and suction for the nonvigorous newborn with meconium-stained amniotic fluid, because the presence of meconium-stained amniotic fluid may indicate fetal distress and increases the risk that the infant will require resuscitation after birth. If the infant is vigorous with good respiratory effort and muscle tone, the infant may stay with the mother to receive the initial steps of newborn care. However, if an infant born through meconium-stained amniotic fluid presents with poor muscle tone and inadequate breathing efforts, or the heart rate is less than 100/min, positive pressure ventilation should be soon initiated. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Nouveau-né |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Inhalation de liquide méconial |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Réanimation à la naissance |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Ventilation en pression positive |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Asphyxiepérinatale |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Delivery roomresuscitation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Infant |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Positive pressureventilation |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Newborn |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Meconium aspiration syndrome |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Revue de Médecine Périnatale | 10 | 1 | 2018-03-16 | p. 34-40 | 2678-6524 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-de-medecine-perinatale-2018-1-page-34?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-de-medecine-perinatale-2018-1-page-34?lang=fr&redirect-ssocas=7080</a> |
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