suctioning mec at perineum?

[JaneyW]

OK, we just had a skills day and were given a copy of the 2005 AHA updates for NRP. In the updates (dated last fall), it is no longer recommended to routinely suction meconium stained babies before shoulder delivery. What are you doing at your facility? Are you suctioning at the perineum? If not routinely, what makes the decision to do so more clear?

Thanks!

[RNnL&D]

We know the new updates say you don't need to, but most docs still request delee suction on the perineum.

Amazingly, our precip mec deliveries that aren't suctioned, do just as well.

[SmilingBluEyes]

Discussing this at our workplace too. Expect dr's slow to change, if at all, even though our NNP is very up on things.....

will be interested to see......I think of re-certifying in NRP early when new materials come out, (not due for over a year more) because I understand there are quite a few changes...

[RNLaborNurse4U]

Some of our providers will still Delee on the perineum. There are a few that have NEVER believed that suctioning on the perineum improved fetal outcomes, and have not suctioned on the peri to begin with. Every provider I work with, I've been passing the word along about the new NRP guidelines - it's up to them whether they choose to implement them or not. Most have been surprised at the new guidelines for mec, but are open to the change.

[JaneyW]

It is being looked at by both the NICU and OB docs at our place. Our OBs were on board with the new guidelines (we are a teaching hospital), but the last NICU resident I had a delivery with thought that the literature still supported suctioning as best practice. The NICU CNS is looking into it. I just don't like the confusion/indecision at delivery. Keep us posted as to what develops at everyone else's facilities!