Recognition, Diagnosis and Treatment of Meconium Obstruction in Extremely Low Birth Weight Infants

• DOI: 10.1159/000330850
• Publication Date: 2011-10-24T07:19:19Z
• Authors: Yoon-Joo Kim; Ee-Kyung Kim; Eun Sun Kim; Han-Suk Kim; Jung-Hwan Choi; Jung-Eun Cheon; Woo Sun Kim; In-One Kim; Kwi Won Park
• Keywords: Enteral administration

Meconium obstruction (MO) of prematurity can result in increased morbidity or mortality and prolonged hospitalization if not diagnosed treated appropriately.The aims our study were to identify the incidence risk factors associated with MO review treatment outcomes.A retrospective analysis was undertaken 101 extremely low birth weight infants (ELBWIs) who born between January 1, 2007, April 2009, at Seoul National University Hospital. Prenatal neonatal compared control groups. The outcomes also reviewed.Twenty-two (22%) patients as having MO. Eighteen these (82%) had prenatal for Respiratory distress syndrome more prevalent group than (p = 0.001). Overall, 17 22 (77%) relieved medical rest underwent ileostomy. times full enteral feeding did differ medically group. However, surgically required time achieve feeding, some persistent gastrointestinal problems.MO is a rare condition ELBWIs, majority ELBWIs have factors. Medical management effective, manageable cases good prognoses subsequent whereas managed problems.