Delayed Passage of Meconium or Urine

More than 90% of term infants pass their first meconium stool by 24 hours of age, and 99% pass one by 48 hours of age (Hoekelman, 2001). Delay in passage of meconium can be caused by Hirschsprung's disease, meconium plug, or meco-nium ileus. When the infant has not passed a stool by 24 to 48 hours of age, a plain radiograph of the abdomen, taken with the infant in the prone position, often reveals the source of the problem. The absence of intraintestinal air in the pelvis suggests Hirschsprung's disease, and air trapped within meconium (characteristic soap bubble appearance) is highly suggestive of meconium ileus (Rudolph et al., 1998). Meco-nium ileus has a high association with cystic fibrosis. Early recognition of Hirschsprung's disease is essential to reduce the morbidity and mortality associated with late diagnosis.

More than 90% of newborns void by 24 hours of age, and 99% by 48 hours of age (Hoekelman, 2001). Failure to pass urine by 48 hours of age should lead to evaluation of the kidneys, ureters, and bladder, including renal sonography.

No infant should be discharged from the nursery without documentation of voiding and stooling. Before initiating any evaluation, however, talk with parents and with nursing staff to make certain that the infant did not have a stool or a wet diaper that was not recorded.

Natural Treatments For Psoriasis

Natural Treatments For Psoriasis

Do You Suffer From the Itching and Scaling of Psoriasis? Or the Chronic Agony of Psoriatic Arthritis? If so you are not ALONE! A whopping three percent of the world’s populations suffer from either condition! An incredible 56 million working hours are lost every year by psoriasis sufferers according to the National Psoriasis Foundation.

Get My Free Ebook


Post a comment