The first birth I attended as a doula, the baby aspirated meconium and sadly passed away a few days later. I am still working through the emotional part of that, but would also like some insight into the biology/medical side of it all.
Basic birth story: Mom labored at home starting on a Tuesday afternoon, we headed to the hospital @ 2 AM wednesday morning and were sent home, mom was only 2-3 cent. Went home rested, contractions slowed down for a few hours then picked back up @ 1 PM wednesday. Mom's water broke @ 5:30, fluid was clear. We headed back to the hospital, she was 5 cm on arrival and was complete by 9:00 PM, pushed for @ 3 hrs, no signs of meconium at the hospital, no sign of distress on the EFM, completely natural birth. Head is born followed by thick meconium at 11:30.
My main question, I always assumed that meconium that thick would have to build up over time and that it would be evident once the membranes ruptured. Everyone including the doctor seemed shocked to see that much meconium, that apparently accumulated in just a couple hours. Just curious to know how often this happens, what might have been done differently if they had known. Any insight?