Gail notes,
<< Before the baby can breathe,  direct laryngoscopy is performed.  That means
 a special "L" shaped flashlight is inserted into the throat and the
 resuscitator actually looks at the vocal cords to determine how far down
 the meconium has traveled. If there is meconium in the trachea (the
 breathing pipe that goes from the mouth to the lungs) an ET tube
 (endotrachial tube) is passed down the trachea, through the vocal cords if
 necessary and the tube is connected to suction and the meconium hopefully
 is completely removed.  This may need to be done several times in
 succession in bad cases.

 After the infant is stabilized the stomach is then suctioned to prevent
 aspiration of meconium containing stomach contents. >>

If this needs to be done, please, please, PLEASE do NOT put the baby
immediately "on" the breast to get him to breastfeed even though it may be
comforting.  The juxtaposition of the "oral rape" (even though necessary) and
putting to the br will trigger more oral aversion to the breast than if you
just then put on mom's abdomen and let him find his way to the breast when he
is ready.

Jan