Newborn Care Date Last Search Run: Jun 01, 2025 Table last updated: May 29, 2022 Data last added: May 26, 2022

Recommendation		RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION		SUPPORTIVE (Green)	NEUTRAL (Yellow)	AGAINST (Red)	NOT YET GRADED (White)
	1 (strong evidence exists)				Intubation Oxygen
	2 (fair evidence exists)		Trach. Suctioning via ETI
	3 (weak evidence exists)	Oxymetry Monitoring

Interventions

Intubation

Level

Direction

Primary Outcome

Patient/Process

Setting

Reference

Oxygen

Level

Direction

Primary Outcome

Patient/Process

Setting

Reference

Oxymetry Monitoring

Level	Direction	Primary Outcome	Patient/Process	Setting	Reference
III	Supportive (Green)	Detecting Congenital Heart Disease	Patient	Other	Williams KB, Horst M, Hollinger EA, Freedman J, Demczko MM, Chowdhury D. Newborn Pulse Oximetry for Infants Born Out-of-Hospital. Pediatrics 2021; 148(4). Medline

Trach. Suctioning via ETI

Level	Direction	Primary Outcome	Patient/Process	Setting	Reference
II	Neutral (Yellow)	Mortality	Process	In-Patient	Linder N., Aranda J., Tsur M., et al. Need for endotracheal intubation and suction in meconium-stained neonates. J Pediatr 1988; 112:613-5. Medline
II	Neutral (Yellow)	Oxygen/ventilator support, Meconium Aspiration Syndrome	Process	In-Patient	Yoder B. Meconium-stained amniotic fluid and respiratory complications: Impact of selective tracheal suction. Obstet Gynecol 1994; 83:77-84. Medline
III	Supportive (Green)	Need for ETI	Process	ICU	Peng T., Gutcher G., Van Dorsten P. A selective aggressive approach to the neonate exposed to meconium-stained amniotic fluid. Am J Obstet Gynecol 1996; 175:296-303. Medline