The new 7th edition of the NRP (Neonatal Resuscitation Program) has a significant change over the previous recommendations.
The new book has been released and you can Order it from Amazon.
NRP Book
Now. We don’t need to routinely intubate non-vigorous newborns with meconium-stained fluid. Previously we used to intubate such newborns before we do stimulation (the fear was stimulating them to breathe would make them aspirate more meconium into the lungs) and do tracheal suctioning.
However, I think the word “routinely” is important here. Yes, no need to do that routinely but if the newborn is sick and not ventilating adequately we still have to do tracheal intubation and tracheal suctioning and follows the regular NRP algorithms.