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Discussion

new NRP guidelines

Anybody else taken NRP lately?!?!?!?!

just took my re-cert class and was stoked to see that delayed cord clamping should be standard practice on all babies not needing immediate PPV/in depth resuscitation. Also no more intubating & suctioning the vocal cords with meconium; stimulate non-vigorous Mec babies!!!

Had a csection the other night, and my resp therapist was getting everything set up, and I told her the new NRP guidelines and she was about crapping herself! 😂💩 she couldn't believe the new Mec guidelines....

but knowing NRP they'll change it again on us...... Just when we're getting acquainted with and accept these changes...

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    We've been practicing the new guidelines for about a year. It seems so much easier and more straightforward.

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    I'll find out in July when I renew my NRP.

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    We've been doing the new Mec guidelines for at least a year now. It's been working out fine. I have had plenty of mec babies and only one had issues and needed resus and a NICU stay (related to mec aspiration) a few months ago. The vast majority of them have no issues and they get to avoid the trauma of being intubated/suctioned right after birth, and get to go right to moms chest, which is good for everyone!

    We still have meconium aspirators in the warmer drawer, but I haven't seen one used in over a year.

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    We too have been using newer guidelines for mec ever since they came out. I've only ever seen one mec baby who didn't immediately do well and had to go to NICU for aspiration (knock on wood). We've been delaying cord clamping on everyone for a few months I think. I don't have strong feelings about that in either direction but if it doesn't hurt, why not?

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