Breathing Problems in Newborns: What Is Meconium Aspiration?

Breast Engorgement
KLE Doctor

Medically Reviewed by Dr Pooja.M.Hiremath, Neonatology

Written by KIE Editorial Contributors

3.5 min read | Published On: 13-10-2025

Some babies have trouble breathing right after birth. One cause is a condition called Meconium Aspiration Syndrome (MAS). This happens when a newborn breathes in a mix of their first stool (meconium) and the fluid that surrounds them in the womb. This mix can get into the baby’s lungs and make it hard for them to breathe. With fast care, most babies get better quickly.

What Is Meconium Aspiration Syndrome?

MAS means a baby has breathed in meconium during or before birth. Meconium is the baby’s first stool. It can come out before the baby is born if the baby is stressed or does not get enough oxygen. If the baby takes a breath and meconium is in the fluid, this can cause breathing problems. Some babies only need a little help, but others may need more care.

Why Does It Happen?

The main reason is stress during birth or late pregnancy. Here are common causes:

  • Labor lasting a long time or being hard
  • Pregnancy that lasts past 40 weeks
  • Some health conditions in the mother like high blood pressure or diabetes
  • Problems with the cord or placenta
  • The mother smokes or uses drugs

If a baby has low oxygen, they may pass meconium and try to breathe before birth.

How Do You Know a Baby Has MAS?

Signs show up right when the baby is born. Look for:

  • Trouble breathing or fast breaths
  • Blue-gray skin or lips
  • Weak cry
  • Floppy, limp arms or legs
  • Grunting or making odd noises when breathing
  • Green or brown-stained fluid at birth
  • Lower than normal Apgar score

Doctors check these signs and act fast if they think it’s MAS.

How Is It Diagnosed?

Doctors can usually tell very soon after birth. They will:

  • Listen to the baby’s lungs
  • Take a chest X-ray
  • Test oxygen levels with a small clip or blood test

These tests show if the lungs are working well.

How Is It Treated?

Treatment depends on how sick the baby is. The main goal is to help the baby breathe. Doctors may:

  • Suction the mouth and nose right after birth
  • Give oxygen by mask or tube
  • Put the baby on a breathing machine if needed
  • Give medicine to help the lungs open up (called surfactant)
  • Give antibiotics if there is an infection
  • Use a special heart-lung machine for very sick babies (ECMO)

Most babies start breathing better after a few days.

What Happens in the Hospital?

Most babies with MAS stay in a special nursery (NICU). They get:

  • Close watching by nurses and doctors
  • Warmth and the right fluids
  • Help with feeding if needed
  • Special breathing support if their lungs are slow to heal

The care team helps the baby get stronger so they can go home.

Can There Be Problems Later?

If MAS is not treated quickly, a baby can develop:

  • High blood pressure in the lungs
  • A lung that collapses
  • A lung infection
  • Brain problems from low oxygen
  • Ongoing trouble breathing

With early care, most babies recover fully and grow up healthy.

Can It Be Prevented?

Not all cases can be stopped, but parents and doctors can lower the risk by:

  • Regular visits to the doctor during pregnancy
  • Not smoking, drinking, or using drugs while pregnant
  • Watching the baby’s health during labor
  • Getting help with high-risk pregnancies
  • Cleaning the baby’s airways if meconium is present at birth

Most problems can be managed with good medical care.

What Is the Outlook?

Most babies with MAS recover well and do not have long-term issues. Recovery might take days or a few weeks, depending on the case. After leaving the hospital, check-ups help make sure the baby is breathing and growing well. If parents see problems with breathing or feeding, they should tell their doctor.

Find Doctors who treat Meconium Aspiration Syndrome

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Frequently Asked Questions

Yes. Although it’s more common in post-term babies, Meconium Aspiration Syndrome can also occur in full-term infants if there’s fetal distress or reduced oxygen levels during delivery.

No, MAS is not contagious. It results from inhaling meconium-stained amniotic fluid, not from bacteria or viruses, though infection can sometimes develop as a complication afterward.

Some babies, especially those who had severe MAS, may need follow-up visits to check lung function and development. Most, however, recover fully without lasting breathing problems.

If MAS causes prolonged oxygen deprivation, it can affect brain function temporarily or, in rare cases, lead to long-term developmental issues. Early treatment helps prevent this risk.

The prognosis is generally excellent. With prompt medical care and proper monitoring, most babies recover completely and go on to live healthy, normal lives.

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