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Meconium staining of the skin is a common event associated with fetal hypoxia, stillbirths, weak-born piglets, and neonatal mortality. Aspiration of meconium leads to meconium aspiration syndrome (MAS). This study was undertaken to assess the relationship between the degree of meconium staining of the skin at birth, meconium aspiration, and pulmonary changes in porcine neonates. A total of 353 farrowing sows and 3,693 born piglets were monitored during parturition and for 15 days after delivery. Umbilical cords were classified as normal or ruptured. Meconium staining in the skin was graded as nonstained, mildly, moderately, and severely stained. Mortality from birth to 15 days of age was 8.4%. The lungs from 60 meconium-stained piglets and 60 lungs from nonstained piglets were collected and microscopically examined for meconium aspiration and inflammation. Rupture of the umbilical cord was significantly higher (P < 0.01) in meconium-stained piglets. Microscopically, 32% and 40% of the lungs had evidence of meconium for the stained and nonstained groups, respectively. The microscopic grade of meconium aspiration and inflammatory cells was not different between nonstained and meconium-stained piglets. Aspiration of meconium induced a granulomatous response in the lungs. It was concluded that the grade of meconium staining is a good indicator of fetal hypoxia, but not a good predictor for meconium aspiration and MAS in piglets.

Meconium aspiration syndrome has been for many years an important cause of neonatal respiratory distress in newborn babies and sporadically reported in animals. This investigation was designed to study the ultrastructural and morphometric changes in the lungs of neonatal rats following the intratracheal inoculation of meconium. Seven-day-old Fischer-344 rats (n = 24) were randomly allocated in two groups. One group was intratracheally inoculated with saline solution and the second group received homologous meconium. Neonates were euthanatized at 1, 3 and 7 postinoculation days (PID) and lungs were examined by light and electron microscopy. Saline solution did not induce any ultrastructural changes in the lung. In contrast, meconium induced deciliation, recruitment of neutrophils and pulmonary alveolar macrophages to the bronchoalveolar space, intravascular sequestration of neutrophils and aggregation of platelets at PID 1 and 3. Other ultrastructural changes at PID 1 and 3 included interstitial edema and escape of red cells and fibrin into the alveolar space and interstitium. Interstitial edema and sequestration of neutrophils were responsible for the significant increase in thickness of alveolar septa. At PID 7 there was hyperplasia and enlargement of type II pneumocytes as well as interstitial proliferation of mesenchymal cells with intra-alveolar fibrosis. It was concluded that intratracheal inoculation of meconium in neonatal rats induces acute ultrastructural changes followed by a reparative response.

Objective: To evaluate the effect of 2 oxytocin products administered to sows at the onset of fetal expulsion on the integrity of umbilical cords, meconium staining, and piglet mortality., Animals: 2099 neonatal pigs., Procedure: 180 parturient sows were randomly assigned to 3 stratified groups of 60 sows each. Two groups of sows were injected IM at the onset of fetal expulsion with 1 of 2 oxytocin commercial products (20, 40, or 50 U for sows weighing 120 to 150 kg, 151 to 250 kg, or > or = 251 kg, respectively). Control sows were treated IM with saline (0.9% NaCI) solution. Farrowing time, expulsion intervals, and numbers of stillborn and liveborn piglets were recorded for each sow. Piglets were evaluated for inspiratory effort, heart rates, and degree of meconium staining of skin (nonstained, and moderately or severely stained). Umbilical cords were classified as normal in appearance, edematous, congested, hemorrhagic, or ruptured., Results: Oxytocin-treated sows had a significant decrease in farrowing time and expulsion intervals and also had a significantly higher number of stillborn piglets per litter, compared with control sows. The number of piglets per litter with ruptured and hemorrhagic umbilical cords was significantly greater in oxytocin-treated sows, compared with control sows. In near-death stillborn piglets, oxytocin treatment significantly decreased inspiratory efforts at birth and increased the rate and severity of meconium staining, compared with saline treatment., Conclusions and Clinical Relevance: Oxytocin given to sows at the onset of fetal expulsion significantly increases the rate of fetal distress, anoxia, and intrapartum death in piglets.

Meconium aspiration syndrome is a major contributor to neonatal respiratory distress in infants and it has been sporadically recognized in neonatal animals. This investigation was designed to study the short and long term effects of meconium and amniotic fluid in the lungs of neonatal rats. Seven-day-old rats (n = 123) divided in three groups were intratracheally inoculated with saline solution, amniotic fluid or meconium. Rats were euthanatized on 1, 3, 7, 14, 28, 56 and 112 postinoculation days (PID) and the lungs were examined by light microscopy. Saline solution did not induce any change while amniotic fluid elicited only a mild foreign body response which disappeared by PID 14. In contrast, meconium induced an exudative alveolitis characterized by recruitment of neutrophilsn in the bronchoalveolar spaces. Meconium also induced atelectasis, hyperinflation and thickening of alveolar septa all of which had disappeared by PID 14. Starting at PID 7, neutrophils were progressively replaced by macrophages, giant cells, and some fibroblasts. There were sporadic foci of mineralization starting at PID 14 and lasting up to PID 112. Some mineralized foci became lined with cuboidal epithelial cells at PID 28. Meconium was slowly degraded but still evident by PID 112. It was concluded that inoculation of meconium in neonatal rats induces acute microscopic changes typical of meconium aspiration syndrome. The long term lesions induced by meconium consisted of persistent multifocal histiocytic alveolitis and bronchiolitis reaction with occasional foci of calcification.

Objective: To evaluate the effect of homologous amniotic fluid and meconium inoculated intratracheally into the lungs of neonatal rats., Animals: 153 male 7-day-old Fischer-344 rats., Procedure: Amniotic fluid was obtained by cesarean section from the uterus of pregnant rats and meconium was collected at the time of birth from the gastrointestinal tract of neonatal rats. Neonatal rats were randomly allocated into 5 treatment groups. Two groups received 0.05 ml of saline (0.9% NaCl) solution; the third and fourth groups received 0.05 ml of 50% or 100% amniotic fluid, respectively; the fifth group was inoculated with 0.05 ml of a 20% suspension of meconium. Six or 7 rat pups/group were euthanatized by exsanguination under halothane anesthesia at postinoculation days 1, 3, 7, and 14. The magnitude of injury and inflammatory response was determined by biochemical and cytologic analyses of bronchoalveolar lavage fluid., Results: Inoculation with saline solution and amniotic fluid did not induce pulmonary injury or inflammatory response. Inoculation with meconium induced significant (P < 0.01) injury and inflammatory response, characterized by the release of cytosolic enzymes and recruitment of neutrophils in the lung., Conclusions: Saline solution is an innocuous vehicle that can be safely used in intratracheal inoculations in neonatal rats. Homologous amniotic fluid, despite containing keratin and epidermal cells, does not cause acute injury or inflammation in the lung. In contrast, meconium acts as a toxic substance injuring respiratory cells and causing a vigorous but transient leukocytic inflammatory reaction in the lungs.

Abstract: Rates and severity of meconium staining on skin and meconium aspiration into the respiratory tract of porcine intrapartum stillbirths were determined in an intensively managed farm. Heartbeats, inspiratory efforts and umbilical cord morphology were evaluated at birth. The lungs of all intrapartum stillborn piglets were grossly examined and microscopically evaluated for the presence of amniotic fluid cells, meconium and inflammatory cells. Thirty four percent of the intrapartum stillbirths had ruptured umbilical cords. Heartbeats and inspiratory efforts were rarely detectable. All intrapartum stillbirths (100%) were stained with meconium, and 60% had meconium grossly visible in the oropharynx and 40% in trachea and bronchi. Microscopically, 72% of the lungs contained meconium. The most common site where meconium was found was the bronchi (66%) followed by bronchioles (48%), and alveoli (34%). There was no microscopic evidence of inflammation in lungs with meconium aspiration. No significant association was found between the severity of skin staining and the degree of meconium aspiration. It was concluded that meconium staining is consistently present in intrapartum stillbirths suggesting that severe hypoxia takes place during parturition. However, meconium staining appears to be a poor predictor for intrapartum aspiration in stillbirth piglets. These findings also suggest that intrapartum death due to asphyxia occurs rapidly thus providing insufficient time in the stillborn to mount a typical inflammatory response in the lung. [Copyright &y& Elsevier]

The objective of the present study was to determine the effect of sow parity on neonatal piglet health and vitality at birth. We evaluated 1505 neonate piglets, which were born of York–Landrace sows with the following parity distribution: primiparous (n = 202), second (n = 207), third (n = 211), fourth (n = 222), fifth (n = 225), sixth (n = 218) and seventh parity (n = 220). Piglets born to primiparous and seventh-parity sows had the lowest and highest birthweights respectively, and showed the most marked imbalances in blood gas exchanges, acid–base balance and energy profiles, as well as the highest percentage of severe meconium staining of the skin and the lowest vitality scores (P < 0.05). In contrast, the neonates from the fourth-parity sows had the highest vitality scores, required less time to reach the mother's teat, and had the highest percentage of adhered umbilical cords and newborns with dyspnoea, apnoea and abnormal heartbeat (P < 0.05). The results of this study suggest that during eutocic farrowings, the sow's parity number has the following effects on newborn piglets: reduced vigour and longer latencies to begin breathing, stand and take the teat. These effects are due to the presence of imbalances in gas exchanges, the acid–base balance and energy profiles that occurred when the mother was a primiparous or older sow. These signs indicate that the newborn piglet survived a process of intrapartum asphyxia. The present study demonstrated alterations in the health of newborn piglets and low vitality scores were due to the effects of the parity of the sow. The objective was to determine the effect of sow parity on neonatal piglet health and vitality at birth. Results suggest that not only births classified as distocic affect the physiological responses of newborn piglets. [ABSTRACT FROM AUTHOR]