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 |