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International Journal of Pediatrics
Volume 2014 (2014), Article ID 204807, 5 pages
http://dx.doi.org/10.1155/2014/204807
Research Article

Utility of Gastric Lavage in Vigorous Neonates Delivered with Meconium Stained Liquor: A Randomized Controlled Trial

Department of Pediatrics, National Institute of Medical Sciences, 4 Govind Marg, NIMS City Center, Jaipur, Rajasthan 302004, India

Received 29 January 2014; Accepted 4 April 2014; Published 24 April 2014

Academic Editor: Dharmapuri Vidyasagar

Copyright © 2014 Jatin Garg et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To determine the incidence of feed intolerance in vigorous babies with meconium stained liquor (MSL) who received prophylactic gastric lavage as compared to those who were not subjected to this procedure. Design. Randomized controlled trial. Setting. Tertiary care teaching hospital. Participants/Intervention. 330 vigorous babies delivered with MSL and satisfying the predefined inclusion criteria were randomized either to receive gastric lavage (group A, ) or to not receive gastric lavage (group B, ). Clinical monitoring was subsequently performed and recorded in prestructured proforma. Results. There was no significant statistical difference ( ) in incidence of feed intolerance in “lavage” and “no lavage” groups. Secondary Outcome. There was no evidence of secondary respiratory distress in either group. None of the patients in the lavage group exhibited adverse effects owing to the procedure. Conclusions. There is no role of prophylactic gastric lavage in neonates born with MSL.