dr Aparna Prasad
centre for Child Health, BLK Super Speciality Hospital
About Author

Routine stomach wash is performed in all babies particularly, who are born through meconium stained liquor at many centres. Although there is no supporting evidence it is believed that meconium is an irritant and can cause nausea and vomiting. Performing this procedure that involves passing an oro-gastric tube and subsequent stomach wash is not free from risk. It can cause bradycardia, apnea, trauma,aspiration and gastric or oesophageal perforation. Moreover, such babies show aversion to breast feeding and can also develop functional intestinal disorder later in life.

Now a days in contrast to this conventional practice, many researchers have come up with the evidence that there is no role of stomach wash in preventing feeding problems in such neonates.

Passage of orogastric gastric tube to check for patency of oesophagus can be done under following situations only:

  1. Polyhydramnios
  2. Antenatal suspicion of oesophageal atresia or CDH
  3. Excessive frothing
  4. Presence ofVACTERALanomalies (Vertebral defects, Anal atresia, Cardiac defects, Tracheo-Esophageal fistula, Renal anomalies, and Limb abnormalities)

Posted On: 21/03/2019

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