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Table 1 In-house guideline for meconium mobilization starting in April 2017

From: Lipid enemas for meconium evacuation in preterm infants – a retrospective cohort study

Preterm infants < 28 weeks gestational age or < 32 weeks gestational age if birth weight is <10th percentile:

• Apply the first enema not earlier than 24 h after birth

• Use special rectal catheter (Prirektosilk natal®, Primed, Halberstadt, Germany)

• Insert catheter for no more than 3 cm

• Instill warmed lipid emulsion (SMOFlipid®20%, Fresenius Kabi AG, Bad Homburg, Germany) using a syringe

• Apply a volume of 10 ml/kg

• Apply lipid emulsion slowly over 10 to 15 min. Leave catheter in place for a few minutes

• Remove catheter

• If necessary, apply gentle abdominal massage afterward

• Repeat once daily until the infant passes transitional stool