Complications that can be seen if the newborn inhales stools

Stools are dark blue, produced in the intestines of the fetus. After birth, babies will discharge stal feces in the first few days. However, due to the pressures that the baby undergoes before or during childbirth can cause the child to discharge sysys while in the uterus. This stool is then mixed with amniotic fluid, causing the baby to inhale a mixture of stool and amniotic fluid into the lungs just before, during or immediately after birth. This condition is called su stool inhalation syndrome (MAS) which is very dangerous.

Stool inhalation syndrome (MAS) is defined as dangerous respiratory distress in babies born in amniotic fluid tinged with feces. The frequency of babies inhaling stools accounts for almost 9-25 % of babies born alive. Nearly 5% of babies born with amniotic fluid tinged with stools will have stool inhalation syndrome (MAS) and nearly 50% of these children require mechanical breathing.

Factors in the excretion of stools of pregnancy in the uterus include: gestational anemia, pre-maternitypregnancy, pregnant women with high blood pressure, amniotic mitigation, mothers addicted to smoking especially tobacco and cocaine. Inhalation of stools before or during childbirth can clot the airways, interfere with gas exchange and be the cause of severe respiratory failure.

Manifestations of pneumonia inhaling stools are babies born often of large stature, people covered with feces, the mouth is filled with amniotic fluid. Babies with amniotic fluid present with respiratory failure, rapid breathing, shortness of breath, moaning, cyanosis, apnea … Bradycardia, decreased muscle muscle, severe asphyxiation, clinical death.

• Stools in the lungs can cause inflammation and infection, also known as stool inhalation pneumonia.
• Stools can also block the airways, hypertroocating the lungs. If the lungs are hypertrophic too much, it may rupture or weaken. After that, air from inside the lungs can accumulate in the chest cavity and around the lungs. This condition, called pleural gas overflow ,makes it difficult to regenerate the lungs. Pneumothorax accounts for 15% – 30% of the total number of babies with stool inhalation, especially in those who breathe mechanically, with gas traps. Air suction or air circulation is necessary in these babies.

• Stool inhalation syndrome increases the risk of babies with persistent pulmonary hypertension. High blood pressure in the pulmonary blood vessels will limit blood flow and make it difficult for the baby to breathe properly. Lung blood pressure in babies is a rare but life-threatening condition. Persistent pulmonary artery hypertension in babies accounts for one-third of children who inhale stools.
• Although stool inhalation syndrome is usually not life-threatening, it can cause significant health complications for babies. In particular, if this syndrome is serious or not treated, it can be fatal for the child. In rare cases, severe stool inhalation syndrome can limit oxygen to the child's brain, causing permanent brain damage, 20% of children may have neurological problems.
• Decreased lung function: 5% of babies survive but depend on oxygen up to 1 month of age. Abnormal lung function: includes increased functional sediment capacity, high frequency of pneumonia. Children who breathe life-saving amniotic fluid with long-term oxygen breathing are at risk of chronic lung disease, increased airway sensitivity (prone to developing asthma, pneumonia) mental retreten, deafness.

• Although inhaling amniotic fluid in babies is a frightening accident for parents, the majority of cases are not serious. Careful monitoring and timely treatment will help to limit severe conditions as well as later symptoms.
• High-risk pregnancies such as: delayed pregnancygrowth in the uterus, old pregnancy, pre-maternity, high blood pressure, chronic cardi lung disease … should be carefully monitored during pregnancy and during childbirth.
• Manage pregnancy and good obstetric care to reduce the rate of aging pregnancy.
• Monitor the fetal heart rate to detect hypoxia of the fetus in women with amniotic fluid tinged with stools.
• With pregnant women ≥ 41 weeks is generally recommended intervention rather than follow-up.