Preventing Meconium Aspiration with a Combined Obstetrics–Pediatrics Approach

Abstract One of the main causes of respiratory distress in neonates, especially those born at term or post-term, is meconium aspiration syndrome (MAS). It happens when the newborn’s first feces, meconium, is aspirated into the lungs during pregnancy, obstructing the airway and causing inflammation and surfactant inactivation. A coordinated strategy between obstetrics and pediatrics is necessary to avoid MAS, with an emphasis on risk factor identification, suitable intrapartum care, and successful newborn resuscitation. This article summarizes the most important research and recommendations that have influenced contemporary practice while reviewing the available data on MAS prevention using combined obstetrics–pediatrics protocols. Along with the importance of obstetric interventions like reducing protracted pregnancies and the use of amnioinfusion, the evolution of preventative strategies—from routine suctioning to targeted therapies based on neonatal vigor—is covered.