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Doctor insights on: Neonatal Meconium

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Dr. Debra Rosenblatt
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Neonatal (Definition)

The term neonatal is generally used to describe events that occur with an infant within the first 30 days after birth.Some practitioners are looser with the definition & extend the ...Read more


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Can terminal meconium give a baby a blackeye and a swollen. head that causes neonatal hyperbilirubinemia?

Can terminal meconium give a baby a blackeye and a swollen. head that causes neonatal hyperbilirubinemia?

No: Terminal meconium is just evidence baby went through a period of stress in labor.Whatever caused the stress might account for some of what you describe. The worst outcome from terminal meconium happens if they inhale the poo into their lungs and get pneumonia. ...Read more

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How long does cocaine stay in a newborns meconium?

How long does cocaine stay in a newborns meconium?

Up to 3 days: As long as a baby hasn't pass all meconium, it can be in there. Please, don't use Cocaine or other drugs during your pregnancy for the reason of possibility of neonatal abstinence syndrome in your baby. Your baby might suffer from the bad withdrawal same way as adults do, but worse, since he/she couldn't do anything about it and they are just victims of maternal drug use. ...Read more

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How far back does a meconium drug test on a newborn go?

How far back does a meconium drug test on a newborn go?

Last trimester:: Meconium is preferred over urine for testing of neonates. Urine testing indicates drug use only over the last 1–10 days, depending on the drug. Meconium documents drug use over an extended period of time, covering at least the last trimester of pregnancy. ...Read more

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What should I do if my newborn's meconium tests positive for opiates?

What should I do if my newborn's meconium tests positive for opiates?

Hard to say: Meconium will hold traces of drug exposures for months.This includes any prescription or non prescription drug.In some cases it is used in child protection evaluations. A positive test does not necessarily translate into any problems for baby. You will need to provide information to verify where exposure occurred. ...Read more

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What happens when a newborn inhales meconium and amniotic fluid?

What happens when a newborn inhales meconium and amniotic fluid?

Meconium aspiration: babies born through meconium stained amniotic fluid are at risk of aspiration. meconium can cause blockage of airway and inflammation of lung tissue. Babies with meconium aspiration frequently show sings of breathing difficulties and need to be admitted to Neonatal ICU for support and observation. ...Read more

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What can I do about meconium ileus (newborn failure to pass stool in the first 48 hours)?

What can I do about meconium ileus (newborn failure to pass stool in the first 48 hours)?

? You ?: First, true meconium ileus is a medical condition caused by thick meconium, associated with cystic fibrosis. It often requires surgery. Such a delay could be an imperforate anus, or a meconium plug, which can be relieved by a simple rectal exam. The cause for this delay should be investigated before a kid ever leaves the hospital. ...Read more

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What does it mean if the newborn has bloody meconium if the mother has placental separation ? And how we can manage him

Meconium = stressed.: When in fetus is stressed. he will often pass a bowel movement, called meconium. If the placental separates from the uterine wall before the baby is born, there will be bleeding too. The placenta is the link to mother's oxygen. Deliver the baby ASAP, c-section, suction mouth and trachea before baby breathes, and then give oxygen and respiratory support after birth if needed. I hope baby is ok ...Read more

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Does a ped doctor need consent from the parent to perform morhine treatment on a newborn and do they have to wait for meconium test results?

Does a ped doctor need consent from the parent to perform morhine treatment on a newborn and do they have to wait for meconium test results?

Parental consent: Parental (or custodial) consent is necessary for any treatment of a minor by any doctor or health care provider for any condition. ...Read more

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Is it possible for my baby to have a meconium plug without any underlying health issues? All his newborn screening tests came back normal. Plus, he stools on his own.

Is it possible for my baby to have a meconium plug without any underlying health issues?  All his newborn screening tests came back normal.   Plus, he stools on his own.

Word definitions: To be more specific, all infants have a little plug that passes with the initial meconium.Occasionally the plug and some meconium passes before birth as a sign of stress.Meconium ileus is a condition where the meconium is so thick and sticky that it blocks all stool passage and can be a sign of cf. My state state screens for CF as part of its newborn screening program but not all do. ...Read more

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My newborn son had meconium aspiration pneumonia and chest x-rays twice daily for 1 week. Does the radiation increase his risk for cancer?

No: There was a media flap some years about after a laughably bad journal study claimed that thousands of people were dying each year from routine chest x-rays. The fallacy was assuming a linear risk where the curve is really sigmoidal or exponential. Junior is gravely sick, needs the x-rays in any case, and my hope is that he will pull through. I'm glad to offer some relief. Good luck and be strong. ...Read more

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How often is meconium drug testing done?

How often is meconium drug testing done?

As often as needed: Meconium drug testing is often done to validate a positive drug screen in the mother or newborn as the method is not confused by some innocent otc preparations. It can also demonstrate drug use over the months prior to birth where a urine test may miss those not used within days of birth. ...Read more

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What are the long term effects of meconium?

What are the long term effects of meconium?

Confusing question: All newborns will pass meconium.It is the accumulated fecal debris of pregnancy consisting of bile, digested hair, shed cells and protein debris in a stacky mass.After its passage, it is gone and transitional or regular stools form. Kids who suck some meconium into their lungs before or during the birthing process can have variable outcome based of the amount and degree of damage the material cause. ...Read more

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Does meconium determine how postterm you are?

Does meconium determine how postterm you are?

? never heard of it: I've been in the business of caring for babies a long time and never heard of anyone relating meconium to gestational age. It starts forming after 12 weeks or so and stops at delivery. Post term status is most often apparent by physical exam of the baby. ...Read more

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How long does cocaine stay in baby s meconium?

Months: Suspicion leads to meconium testing in a newborn as a more accurate reflection of past drug exposure than urine, that may only reflect a week or so.The material is built up over many months and the sensitivity of the test can pick up minute quantities deposited in the meconium as it forms.This reflects exposures from the preceding month if not longer. ...Read more

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Meconium - what are the long term effects on the child?

Meconium - what are the long term effects on the child?

Depends: I'll assume u mean inhaled meconium that caused respiratory pbs. The effect is variable.Even small amts in the lung can cause a chemical pneumonia that interferes with breathing. After the pneumonia improves under rx, there can be tissue scarring from the stress, the meconium is eventually broken down & removed by the healing process.The lung injury will gradually improve, some probs may remain. ...Read more

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How far back does meconium go back during a tox screen?

How far back does meconium go back during a tox screen?

Months: The meconium is the byproduct of months of internal digestive work.Drug exposures during the pregnancy may be gone from urine if mom has not been exposed in a week or so, but meconium can preserve the material for months. ...Read more

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How long does it take to get meconium drug test results?

How long does it take to get meconium drug test results?

Varies: Depends on the hospital and lab. If they have to send it out, may take longer. Should be less than a week ...Read more

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How long does it take for meconium results to come back?

Too long: It may take up to 7 days. Most hospitals have to send it out to a major center for analysis. What are you looking for? ...Read more

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What do you suggest if my son ate the meconium before being born?

What do you suggest if my son ate the meconium before being born?

OK: If infant passed meconium before birth and swallowed it-infant will be fine-it is sterile. But if infant breathed it into lungs-infant can have serious pneumonia. 12% of births have meconium-sometimes it is a sign of fetal distress-sometimes not. The condition of the infant right now is important. If there is no breathing problem-that is a good sign. ...Read more