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Journal of Obstetric, Gynecologic, and... 1993Advances in the management of umbilical cord prolapse hold promise for reducing perinatal morbidity and mortality. This article reviews traditional nursing management of... (Review)
Review
Advances in the management of umbilical cord prolapse hold promise for reducing perinatal morbidity and mortality. This article reviews traditional nursing management of umbilical cord prolapse and introduces the use of real-time ultrasound and bladder filling as additional methods of nursing management. A case report is provided.
Topics: Administration, Intravesical; Adult; Female; Heart Rate, Fetal; Humans; Nursing Assessment; Obstetric Labor Complications; Obstetric Nursing; Pregnancy; Pregnancy Outcome; Prolapse; Risk Factors; Sodium Chloride; Ultrasonography, Prenatal; Umbilical Cord; Urinary Catheterization
PubMed: 8410430
DOI: 10.1111/j.1552-6909.1993.tb01811.x -
Lancet (London, England) Mar 1951
Topics: Female; Humans; Pregnancy; Pregnancy Complications; Umbilical Cord
PubMed: 14805128
DOI: 10.1016/s0140-6736(51)92247-7 -
The Journal of Emergency Medicine 1989The case of a 23-year-old woman with umbilical cord prolapse and fetal distress is described. This serious obstetrical complication is unfamiliar to many emergency... (Review)
Review
The case of a 23-year-old woman with umbilical cord prolapse and fetal distress is described. This serious obstetrical complication is unfamiliar to many emergency physicians although it represents an acute emergency with high mortality. Appropriate prehospital, emergency department, and obstetrical suite care is discussed including a bladder-filling technique and tocolysis that can buy valuable time by temporarily relieving pressure on the cord.
Topics: Administration, Intravesical; Adult; Cesarean Section; Emergencies; Female; Heart Rate, Fetal; Humans; Infusions, Intravenous; Pregnancy; Pregnancy Complications; Prolapse; Ritodrine; Umbilical Cord; Version, Fetal
PubMed: 2661671
DOI: 10.1016/0736-4679(89)90261-8 -
American Journal of Obstetrics and... Dec 1980
Topics: Adult; Cesarean Section; Female; Humans; Infant, Newborn; Obstetric Labor Complications; Pregnancy; Prolapse; Umbilical Cord; Uterine Rupture
PubMed: 7446634
DOI: 10.1016/s0002-9378(16)32799-5 -
BMJ Case Reports Jul 2013A case of a prolapsed patent vitellointestinal duct (PVID) in a 10-day-old neonate who presented with vomiting and poor weight gain with partial intestinal obstruction...
A case of a prolapsed patent vitellointestinal duct (PVID) in a 10-day-old neonate who presented with vomiting and poor weight gain with partial intestinal obstruction and a flower like pink, prolapsing lesion at his umbilicus has been reported. A limited contrast study through the tubular structure confirmed it to be a PVID. He underwent transumbilical exploration and resection and anastomosis uneventfully. Persistence of the vitellointestinal duct as a whole or part of it leads to a wide variety of anomalies-Meckel's diverticulum is the commonest lesion and a PVID is the rarest. Umbilical cord clamping flush with the abdominal wall may convert a Meckel's diverticulum prolapsing in the base of umbilical ring into a PVID. Careful assessment should be made for associated anomalies. Transumbilical exploration gives the best cosmetic and functional results.
Topics: Humans; Infant, Newborn; Intestinal Diseases; Male; Prolapse; Vitelline Duct
PubMed: 23845681
DOI: 10.1136/bcr-2013-010221 -
Glasgow Medical Journal Nov 1866
PubMed: 30432602
DOI: No ID Found -
American Journal of Obstetrics and... May 2022
Topics: Female; Humans; Obstetric Labor Complications; Pregnancy; Prolapse; Umbilical Cord
PubMed: 34902320
DOI: 10.1016/j.ajog.2021.12.003 -
American Journal of Obstetrics and... Apr 1985Cord presentation was diagnosed antenatally in nine patients at term referred for fetal ultrasound assessment (incidence of 0.61%). Seven patients were delivered by...
Cord presentation was diagnosed antenatally in nine patients at term referred for fetal ultrasound assessment (incidence of 0.61%). Seven patients were delivered by cesarean section; cord position was confirmed in four and suspected in three patients. There were two vaginal deliveries, one following spontaneous version and the other a stillbirth associated with cord prolapse.
Topics: Breech Presentation; Cesarean Section; Delivery, Obstetric; Female; Fetal Monitoring; Humans; Labor Presentation; Obstetric Labor Complications; Posture; Pregnancy; Prenatal Diagnosis; Prolapse; Ultrasonography; Umbilical Cord
PubMed: 3885744
DOI: 10.1016/0002-9378(85)90388-6 -
Gynecologie, Obstetrique, Fertilite &... Jan 2017To study the occurrence of cords accident (nuchal cords, prolapse, and braces) after external cephalic version according to its failure or success.
OBJECTIVES
To study the occurrence of cords accident (nuchal cords, prolapse, and braces) after external cephalic version according to its failure or success.
METHODS
Retrospective study between 1998-2015 comparing in the cord accident diagnosed at delivery (by midwife or doctors according to mode of delivery): Patients with attempt ECV: Group 1 cephalic presentation after successful ECV with trial of labor, and Group 2 failed ECV followed by elective cesarean or trial of labor. Patients with no attempt ECV Group 3 spontaneous cephalic presentation matching for delivery date, maternal age, parity, body mass index, and delivery history with group 1, Group 4 Breech presentation without attempt ECV with trial of labor.
RESULTS
A total of 776 women with breech presentation were included (198 in group 1, 446 in group 2, 396 in group 3 and 118 in group 4). The prevalence of cord accident did not differ according to ECV attempt (17.08 % versus 18.9 %), to cephalic presentation (group 1: 24.7 % versus group 3: 25 %) and to breech presentation (group 2: 16.9 % versus group 4: 17.2 %). The trial of labor after failed ECV did not increase the risk of cord accident when compared with elective cesarean (17.4 % versus 16 %). A prolapse cord was only observed after trial of labor, i.e. in groups 1, 2 and 4 without difference (respectively 1, 0.8 and 1.7 %). In each group, the rate of cesarean was not different according to the presence of nuchal cord.
CONCLUSION
Success or failed External cephalic version is not associated with an increased risk of cord accident.
Topics: Breech Presentation; Cesarean Section; Female; Humans; Nuchal Cord; Obstetric Labor Complications; Pregnancy; Pregnancy Complications; Prolapse; Retrospective Studies; Risk Factors; Trial of Labor; Umbilical Cord; Version, Fetal
PubMed: 28238321
DOI: 10.1016/j.gofs.2016.12.001 -
International Journal of Gynaecology... Feb 2004To determine obstetric risk factors and perinatal outcomes of pregnancies complicated by umbilical cord prolapse.
OBJECTIVES
To determine obstetric risk factors and perinatal outcomes of pregnancies complicated by umbilical cord prolapse.
METHODS
A population-based study was performed comparing all deliveries complicated by cord prolapse to deliveries without this complication. Statistical analysis was performed using multiple logistic regression models.
RESULTS
Prolapse of the umbilical cord complicated 0.4% (n=456) of all deliveries included in the study (n=121,227). Independent risk factors for cord prolapse identified by a backward, stepwise multivariate logistic regression model were: malpresentation (OR=5.1; 95% CI 4.1-6.3), hydramnios (OR=3.0; 95% CI 2.3-3.9), true knot of the umbilical cord (OR=3.0; 95% CI 1.8-5.1), preterm delivery (OR=2.1; 95% CI 1.6-2.8), induction of labor (OR=2.2; 95% CI 1.7-2.8), grandmultiparity (>five deliveries, OR=1.9; 95% CI 1.5-2.3), lack of prenatal care (OR=1.4; 95% CI 1.02-1.8), and male gender (OR=1.3; 95% CI 1.1-1.6). Newborns delivered after umbilical cord prolapse graded lower Apgar scores, less than 7, at 5 min (OR=11.9, 95% CI 7.9-17.9), and had longer hospitalizations (mean 5.4+/-3.5 days vs. 2.9+/-2.1 days; P<0.001). Moreover, higher rates of perinatal mortality were noted in the cord prolapse group vs. the control group (OR=6.4, 95% CI 4.5-9.0). Using a multiple logistic regression model controlling for possible confounders, such as preterm delivery, hydramnios, etc., umbilical cord prolapse was found to be an independent contributing factor to perinatal mortality.
CONCLUSIONS
Prolapse of the umbilical cord is an independent risk factor for perinatal mortality.
Topics: Adolescent; Adult; Age Factors; Confidence Intervals; Female; Gestational Age; Humans; Incidence; Infant Mortality; Infant, Newborn; Israel; Labor Presentation; Logistic Models; Male; Obstetric Labor Complications; Odds Ratio; Parity; Pregnancy; Pregnancy Outcome; Prolapse; Risk Factors; Sex Factors; Umbilical Cord
PubMed: 14871514
DOI: 10.1016/S0020-7292(03)00333-3