I agree with the previous posts and would suggest the reference of the American Academy of Pediatrics and their Neonatal Resuscitation Program. They removed the reference for suctioning in the last edition in 2006 for meconium unless not vigorous. As an instructor I also struggle with this practice change in the real world. Suctioning does cause irritation to the throat and can cause feeding issues. My suggestion is to keep up the discussion as the event occurs. swise