Evidence map›Paper›PMID 41917300›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2026

Comparison of neonatal outcomes of term neonates with meconium-stained amniotic fluid before and after routine endotracheal suctioning strategy at birth.

Sanjay Chawla, Rachel G Greenberg, Praveen Kumar Boddu, Anup Katheria, Katherine Coughlin, Kanika Deora, Gary Weiner, Henry C Lee, Vaneet Kalra, Arpitha Chiruvolu and 2 more

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Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Sanjay ChawlaDepartment of Pediatrics, Central Michigan University, Wayne State University, Detroit, MI, USA. schawla@dmc.org.ORCID http://orcid.org/0000-0002-7299-2737
Rachel G GreenbergDepartment of Pediatrics, Duke University, Durham, NC, USA.ORCID http://orcid.org/0000-0003-4156-8543
Praveen Kumar BodduDepartment of Pediatrics, Central Michigan University, Wayne State University, Detroit, MI, USA.ORCID http://orcid.org/0000-0003-1777-593X
Anup KatheriaNeonatal Research Institute, Sharp Mary Birch Hospital for Women & Newborns, San Diego, CA, USA.ORCID http://orcid.org/0000-0001-9352-0934
Katherine CoughlinNeonatal Research Institute, Sharp Mary Birch Hospital for Women & Newborns, San Diego, CA, USA.
Kanika DeoraDepartment of Pediatrics, Central Michigan University, Wayne State University, Detroit, MI, USA.
Gary WeinerDepartment of Pediatrics, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0002-9026-6149
Henry C LeeDepartment of Pediatrics, University of California, San Diego, La Jolla, CA, USA.ORCID http://orcid.org/0000-0001-8383-1720
Vaneet KalraDepartment of Pediatrics, Kaiser Permanente, San Leandro, CA, USA.
Arpitha ChiruvoluDepartment of Pediatrics, Baylor University Medical Center at Dallas, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-3289-7874
Thomas WiswellORCID http://orcid.org/0000-0003-3290-3610
Satyan LakshminrusimhaDepartment of Pediatrics, University of California at Davis Children's Hospital, Sacramento, CA, USA.ORCID http://orcid.org/0000-0001-6098-2155

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare the incidence of meconium aspiration syndrome (MAS) among neonates born through meconium-stained amniotic fluid (MSAF) before and after discontinuation of endotracheal suctioning for non-vigorous neonates.

methodsWe conducted a multicenter retrospective cohort study across three centers comparing two eras. Neonates born through MSAF at ≥36 weeks' gestation were included. Multivariable regression adjusted for sex and birth center.

resultsAmong 8635 neonates (5554 Era 1; 3081 Era 2), including 1053 non-vigorous neonates, unadjusted MAS incidence did not differ between eras overall (4.8% vs. 5.5%, p = 0.17) or among non-vigorous neonates (21.0% vs. 22.8%, p = 0.55). After adjustment, Era 2 was associated with higher odds of MAS overall (aOR 1.37, 95% CI 1.11-1.69) and among non-vigorous neonates (aOR 1.54, 95% CI 1.07-2.22). Respiratory distress was higher in Era 2, while other outcomes assessed were unchanged.

conclusionsDiscontinuation of routine suctioning was associated with increased MAS incidence among neonates born through MSAF.

Identifiers

PMID41917300

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.