The American College of Obstetricians and Gynecologists’ Committee on Obstetric Practice has issued a committee opinion on the delivery of a newborn with meconium-stained amniotic fluid. Complying with the most recent guidelines from the American Academy of Pediatrics and the American Heart Association, the committee offers the following recommendations:

• Infants with meconium-stained amniotic fluid, regardless of whether they are vigorous or not, should no longer routinely receive intrapartum suctioning. However, meconium-stained amniotic fluid is a condition that requires the notification and availability of an appropriately credentialed team with full resuscitation skills, including endotracheal intubation.
• Resuscitation should follow the same principles for infants with meconium-stained fluid as for those with clear fluid.