Silke has practiced as a midwife in a range of birth environments for many years. She is also a midwifery educator, working with undergraduate and postgraduate midwives. She originally hails from Yorkshire, UK, but has lived and worked for many years in Marlborough, New Zealand, and more recently has 'crossed the ditch' to Tasmania, Australia.
This presentation is developed from the findings of a structured review of evidence, entitled 'How effective is the presence of meconium-stained amniotic fluid as a predictor of neonatal morbidity and mortality?' undertaken as a Master of Midwifery dissertation at the University of Leeds, UK, back in 2005. A discussion of her findings – 'Holy Meconium' - was published in Essentially MIDIRS in 2013 and she has since presented at conferences. She continues to keep abreast of theories, research findings and practice implications relating to meconium.
Controversy surrounds the causes of in-utero meconium passage and the diagnosis of Meconium Aspiration Syndrome. The vast array of meconium research seemingly confirms that meconium in amniotic fluid is harmful because it either indicates or contributes to neonatal compromise. However, this is an assumption which has not been clearly demonstrated by robust research. Nonetheless the bias in support of an association with unfavourable outcomes has promoted meconium’s poor reputation and led to a multitude of hugely significant interventions.
Using the findings from an extensive review of the literature, this presentation will discuss the theories of meconium passage. It will examine the research findings that are currently shaping our meconium guidelines, and then explore the evidence that supports the concept of in-utero meconium passage as a physiological process. Then it will consider the controversial diagnosis of Meconium Aspiration Syndrome in the light of the challenges to its existence as a disease in its own right
To Continue, Please Select Your Country of Residence
Whoops! Please select your Country before clicking "Submit"
The GOLD Learning Lecture Library is a unique & convenient resource for Healthcare Professionals, Researchers, Students and other Educators looking to stay up to date on the latest evidence-based skills and practices. Country Category pricing has been determined by World Bank Economic Indicators. Proof of residency may be requested. Learn more about our Category Pricing Here.
GOLD Learning Speakers
