Hello all you great OB nurses!
I come to you with a question I hope you can answer for me.
I've been out of nursing for 3 years and recently got a job in a NICU in my new state. I did NICU before I stopped nursing for a while.
Anyway, I went with my preceptor to a pea-soup vaginal meconium delivery last night. Thankfully the mother had been able for amnioinfusion to be done so the meconium was thin by the time the baby was born. The child did very well, thankfully.
My question is this: The OB nurse came to us to have us answer some questions about the delivery for her paperwork. Then she asked us, "Do you know what grade this delivery would be considered as... 1+, 2+, 3+ or 4+?" In my experience, meconium has been called thin, thick, or pea soup and is based usually on the appearance at delivery after amnioinfusion has been done. Do any of you know how to designate the 1+...4+ meconium grades or have any information about where I can learn more about this? My preceptor didn't have a clue either. I'm wondering if this is something that has been developed during the past 3 years while I was out of the loop so to speak...
Thank you very much in advance for any light you can shine on this for me!!