A fetus in distress may pass meconium prior to birth, which places them at risk for meconium aspiration syndrome. Neonates born through meconium-stained fluid must be carefully assessed for signs of meconium aspiration, which manifests clinically as respiratory distress and pulmonary hypertension. It is no longer recommended to intubate and deep suction (below the vocal cords) at the perineum (or abdomen) for any newborn with meconium; they are delivered and then assessed for respiratory distress. Meconium-stained fluid alone is not an indication for an emergency cesarean section; a vaginal delivery provides better squeeze to the neonate’s chest to aid in clearing fluid in the lungs. Since post-term gestational age is a risk factor for passing meconium, these patients require close assessment for complications.