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The role of gastric lavage in neonates delivered through meconium-stained amniotic fluid remains unclear. This study evaluated the effects of gastric lavage, compared to no- gastric lavage, on the incidences of feeding intolerance, respiratory distress, meconium aspiration syndrome, time to establish breastfeeding, hospitalization and procedure-related complications in late-preterm and term neonates delivered through meconium-stained amniotic fluid. Systematic review and meta-analysis. MEDLINE, EMBASE, CENTRAL, and other databases were