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Umbilical Cord Prolapse

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2. Umbilical Cord Prolapse

Umbilical Cord Prolapse Umbilical Cord Prolapse Green-top Guideline No. 50 November 2014RCOG Green-top Guideline No. 50 2of 19 © Royal College of Obstetricians and Gynaecologists Umbilical Cord Prolapse This is the second edition of this guideline. It replaces the first edition which was published in 2008 under the same title. Executive summary of recommendations Clinical issues What factors are associated with a higher chance of cord prolapse? Clinicians need to be aware of several clinical (...) factors associated with umbilical cord prolapse. Can cord presentation be detected antenatally? Routine ultrasound examination is not sufficiently sensitive or specific for identification of cord presentation antenatally and should not be performed to predict increased probability of cord prolapse, unless in the context of a research setting. Selective ultrasound screening can be considered for women with breech presentation at term who are considering vaginal birth. Can cord prolapse or its effects

2014 Royal College of Obstetricians and Gynaecologists

3. Risk Factors for Umbilical Cord Prolapse at the Time of Artificial Rupture of Membranes (PubMed)

Risk Factors for Umbilical Cord Prolapse at the Time of Artificial Rupture of Membranes Objective  The aim of the study was to examine the association between cervical exam at the time of artificial rupture of membranes (AROM) and cord prolapse. Study Design  We conducted a retrospective cohort study using the data from the Consortium on Safe Labor. We included women with cephalic presentation and singleton pregnancies at ≥ 23 weeks' gestation who underwent AROM during the course of labor (...) . Multivariable logistic regression was used to calculate the adjusted odds ratio (aOR) with 95% confidence interval (95% CI), controlling for prespecified covariates. Results  Of 57,204 women who underwent AROM, cord prolapse occurred in 113 (0.2%). Compared with dilation 6 to 10 cm + station ≥ 0 at the time of AROM, <6 cm + any station and 6-10 cm + station ≤ -3 were associated with increased risks of cord prolapse (<6 cm + station ≤ -3 [aOR, 2.29; 95% CI, 1.02-5.40]; <6 cm + station -2.5 to -0.5 [aOR, 2.34

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2018 AJP Reports

4. Optimal management of umbilical cord prolapse (PubMed)

Optimal management of umbilical cord prolapse Umbilical cord prolapse (UCP) is an uncommon obstetric emergency that can have significant neonatal morbidity and/or mortality. It is diagnosed by seeing/palpating the prolapsed cord outside or within the vagina in addition to abnormal fetal heart rate patterns. Women at higher risk of UCP include multiparas with malpresentation. Other risk factors include polyhydramnios and multiple pregnancies. Iatrogenic UCP (up to 50% of cases) can occur (...) in procedures such as amniotomy, fetal blood sampling, and insertion of a cervical ripening balloon. The perinatal outcome largely depends on the location where the prolapse occurred and the gestational age/birthweight of the fetus. When UCP is diagnosed, delivery should be expedited. Usually, cesarean section is the delivery mode of choice, but vaginal/instrumental delivery could be tried if deemed quicker, particularly in the second stage of labor. Diagnosis-to-delivery interval should ideally be less

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2018 International journal of women's health

5. Umbilical Cord Prolapse in a Labouring Patient: A Multidisciplinary and Interprofessional Simulation Scenario (PubMed)

Umbilical Cord Prolapse in a Labouring Patient: A Multidisciplinary and Interprofessional Simulation Scenario This case is one of an eight-case multidisciplinary curriculum designed and implemented at the University of Ottawa by simulation educators with specialty training in obstetrics and gynecology (OB/GYN) and anesthesiology. Consultation from a nurse educator maintained quality and relevance of objectives for nursing participants. The curriculum was prepared to train OB/GYN (...) exposure to all scenarios during a five-year residency beginning in their second year. Prospective evaluative data has been positive. For example, over 90% of participants rated these simulations to be 5 out of 5 with comments, such as "Was an effective use of my educational time" and "Will influence/enhance my future practice". In this scenario, participants must recognize and manage fetal distress resulting from umbilical cord prolapse in a labouring patient and respond with urgent operative delivery

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2017 Cureus

6. Umbilical Cord Prolapse

Umbilical Cord Prolapse Umbilical Cord Prolapse Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Umbilical Cord Prolapse Umbilical Cord (...) Prolapse Aka: Umbilical Cord Prolapse , Prolapsed Cord From Related Chapters II. Epidemiology Vertex presentation: 0.4% : 0.5% : 4-6% : 15-18% III. Pathophysiology Umbilical Cord Prolapses Frank cord presentation Cord prolapsed through Occult cord presentation Cord trapped alongside presenting part Follows Occurs when presenting part is ill fitting ling Fetal abnormality Fetal blood supply obstructed when cord out of Drop in of Prolapsed Cord Vasospasm of umbilical vessels Compression between pelvic

2018 FP Notebook

7. Vaginal delivery in a pregnant woman with cord prolapse, velamentous cord insertion, and fetal vertex presentation: A case report. (PubMed)

Vaginal delivery in a pregnant woman with cord prolapse, velamentous cord insertion, and fetal vertex presentation: A case report. We report a rare case of a pregnant woman with cord prolapse, velamentous cord insertion (VCI), and fetal vertex presentation who completed vaginal delivery.Without having undergone regular antepartum examinations, a 31-year-old pregnant woman, gravida 6, para 4, abortion 1, presented at 37 weeks and 3 days of gestation. She had regular labor pain and bloody (...) show.Cord prolapse during labor and VCI after delivery.Per vaginal examination at 11:20 PM revealed a fully dilated cervix. Thirty minutes later, artificial rupture of the membrane was performed, and an overt prolapsed cord approximately 10-cm long was palpated in the vagina. Fetal heartbeat decelerated to 60 bpm. After fundal pushing for some minutes, a female baby weighing 2130 g was delivered at 11:54 PM with a pediatrician on standby. Apgar scores were 7 (0 minute), 9 (5 minutes), and 10 (10 minutes

2018 Medicine

8. Deferred Cord Clamping Compared to Umbilical Cord Milking in Preterm Infants

Deferred Cord Clamping Compared to Umbilical Cord Milking in Preterm Infants Deferred Cord Clamping Compared to Umbilical Cord Milking in Preterm Infants - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Deferred Cord Clamping Compared to Umbilical Cord Milking in Preterm Infants The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT02996799 Recruitment Status : Recruiting First Posted : December 19, 2016 Last Update Posted

2016 Clinical Trials

9. The Difficult Delivery: Umbilical Cord Prolapse

The Difficult Delivery: Umbilical Cord Prolapse The Difficult Delivery: Umbilical Cord Prolapse - First10EM Search The Difficult Delivery: Umbilical Cord Prolapse by | Published - Updated Case Once again, a 34 year old G5P4 woman at 39 weeks gestation is wheeled into your resus room in what appears to be . You perform a quick exam, but instead of encountering the presenting part, you feel a pulsatile cord. Oh no, you remember hearing about umbilical cord prolapse back in medical school… My (...) and pillow under mom’s hip. If there is a delay to the OR, or if there is persistent fetal heart rate abnormalities, consider the use of a tocolytic: Terbutaline 0.25mg subQ or 2.5-10mcg/min IV Nitroglycerine 50-200mcg IV Magnesium sulfate 4 grams IV over 15 minutes, then 1-4 grams/hr IV Other guides to emergency department obstetrics: Other FOAMed Resources for Umbilical Cord Prolapse Again, I didn’t come across any while preparing this post, but I am happy to add links if you know of good resources

2015 First10EM

10. The use of balloons for uterine cervical ripening is associated with an increased risk of umbilical cord prolapse: population based questionnaire survey in Japan. (PubMed)

The use of balloons for uterine cervical ripening is associated with an increased risk of umbilical cord prolapse: population based questionnaire survey in Japan. To clarify whether the use of balloons for cervical ripening is associated with the incidence of umbilical cord prolapse.A postal questionnaire survey was distributed in Japan. Cases of umbilical cord prolapse occurring during labor in association with the use of balloons for cervical ripening between 2007 and 2011 in Japan were (...) analyzed.Answers from 942 institutions were obtained. The subjects included 369 patients with fore-lying or prolapse of the umbilical cord among a total of 2,037,460 deliveries. Among the singleton vertex cases, fore-lying or prolapse of the umbilical cord during labor were observed in 88 (0.005%) of 1,891,189 deliveries not associated with the use of balloons for cervical ripening and in 93 (0.064%) of 146,271 deliveries associated with the use of balloons for cervical ripening (Odds ratio 13.67, 95

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2015 BMC Pregnancy and Childbirth

11. Role of Umbilical Cord Milking in the Management of Hypoxic-ischemic Encephalopathy in Neonates

Role of Umbilical Cord Milking in the Management of Hypoxic-ischemic Encephalopathy in Neonates Role of Umbilical Cord Milking in the Management of Hypoxic-ischemic Encephalopathy in Neonates - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one (...) or more studies before adding more. Role of Umbilical Cord Milking in the Management of Hypoxic-ischemic Encephalopathy in Neonates The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03123081 Recruitment Status : Not yet

2017 Clinical Trials

12. Umbilical cord prolapse - changing patterns and improved outcomes: a retrospective cohort study. (PubMed)

Umbilical cord prolapse - changing patterns and improved outcomes: a retrospective cohort study. Umbilical cord prolapse is an acute obstetrical emergency requiring rapid identification and intervention. Its management has undergone significant changes over the past century. This study aims to document the changes in incidence, morbidity, and perinatal mortality over a 69-year period.A retrospective review of the annual clinical reports of the National Maternity Hospital, Dublin, Ireland (...) , was performed.The National Maternity hospital was founded in 1894 and has nearly 10,000 deliveries each year.All deliveries in the hospital for each year are included in each annual report.We reviewed the reports from a 69-year period (1940-2009). Information from the reports was collated into a database and analysed using Microsoft excel 2007.Incidence and outcome of all cases of umbilical cord prolapse were recorded, along with the neurological outcome of all neonatal survivors (available since 1970

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2014 BJOG

13. Effect of Umbilical Cord Milking on Iron Related Health Outcomes for Cesarean-Delivered Infants

care in the hospital where she gives birth Exclusion Criteria: Maternal hypertensive disorder Gestational diabetes with macrosomia Gestational diabetes with polyhydramnios Maternal severe anemia with hemoglobin less than 70 g/L Maternal coagulation disorders Fetal growth restriction Major congenital anomalies Hemolytic disease of the newborn or hydrops fetalis Short umbilical cord length (< 30 cm) Severe cord or placenta abnormalities such as cord prolapse, true knots, placental abruption (...) Effect of Umbilical Cord Milking on Iron Related Health Outcomes for Cesarean-Delivered Infants Effect of Umbilical Cord Milking on Iron Related Health Outcomes for Cesarean-Delivered Infants - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one

2016 Clinical Trials

14. Lean Umbilical Cord – a Case Report (PubMed)

anaesthesia at 31 + 2 weeks gestation. At surgery no obvious cause for the acute placental insufficiency - such as placental abruption, cord prolapse or true knot of the umbilical cord - was found. Other possible causes such as vasa praevia or placenta praevia had previously been excluded sonographically on admission for vaginal bleeding. The only notable intraoperative finding was a macroscopically extremely thin umbilical cord. (...) Lean Umbilical Cord – a Case Report The "lean" umbilical cord (also known as thin-cord syndrome) is a comparatively rare anomaly of the umbilical cord, which has seldom been described in the medical literature. We report on a 35-year-old women who presented to us at 29 + 4 weeks gestation with vaginal bleeding and cervical incompetence subsequently complicated not only by premature rupture of membranes but also acute placental insufficiency requiring emergency caesarean section under general

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2016 Geburtshilfe Und Frauenheilkunde

15. Umbilical Cord Prolapse

Umbilical Cord Prolapse Umbilical Cord Prolapse Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Umbilical Cord Prolapse Umbilical Cord (...) Prolapse Aka: Umbilical Cord Prolapse , Prolapsed Cord From Related Chapters II. Epidemiology Vertex presentation: 0.4% : 0.5% : 4-6% : 15-18% III. Pathophysiology Umbilical Cord Prolapses Frank cord presentation Cord prolapsed through Occult cord presentation Cord trapped alongside presenting part Follows Occurs when presenting part is ill fitting ling Fetal abnormality Fetal blood supply obstructed when cord out of Drop in of Prolapsed Cord Vasospasm of umbilical vessels Compression between pelvic

2015 FP Notebook

16. Umbilical cord prolapse. (PubMed)

Umbilical cord prolapse. 630251 1978 05 17 2018 11 13 0007-1447 1 6113 1978 Mar 11 British medical journal Br Med J Umbilical cord prolapse. 601-2 eng Editorial England Br Med J 0372673 0007-1447 AIM IM Cesarean Section Delivery, Obstetric Female Humans Obstetric Labor Complications diagnosis therapy Pregnancy Prognosis Prolapse Umbilical Cord 1978 3 11 1978 3 11 0 1 1978 3 11 0 0 ppublish 630251 PMC1603374 Br Med J. 1960 Nov 19;2(5211):1496-8 13749886 J Obstet Gynaecol Br Emp. 1951 Apr;58(2

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1978 British medical journal

17. Umbilical cord prolapse. (PubMed)

Umbilical cord prolapse. 647363 1978 07 26 2008 11 20 0007-1447 1 6125 1978 Jun 03 British medical journal Br Med J Umbilical cord prolapse. 1489 Vago T T eng Letter England Br Med J 0372673 0007-1447 AIM IM Female Humans Methods Obstetric Labor Complications therapy Pregnancy Prolapse Umbilical Cord 1978 6 3 1978 6 3 0 1 1978 6 3 0 0 ppublish 647363 PMC1604938

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1978 British medical journal

18. Prolapse of the Umbilical Cord (PubMed)

Prolapse of the Umbilical Cord 13379442 2002 05 01 2018 12 01 0035-9157 49 11 1956 Nov Proceedings of the Royal Society of Medicine Proc. R. Soc. Med. Prolapse of the umbilical cord. 937-40 RHODES P P eng Journal Article England Proc R Soc Med 7505890 0035-9157 OM Humans Prolapse Umbilical Cord 5731:25873 UMBILICAL CORD 1956 11 1 1956 11 1 0 1 1956 11 1 0 0 ppublish 13379442 PMC1889257 Lancet. 1951 Mar 10;1(6654):561-2 14805128 Am J Obstet Gynecol. 1951 Jul;62(1):52-64 14846821 J Obstet

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1956 Proceedings of the Royal Society of Medicine

19. Apparent Foetal Death Due to Compression of Prolapsed Umbilical Cord (PubMed)

Apparent Foetal Death Due to Compression of Prolapsed Umbilical Cord 13825635 1998 11 01 2018 12 01 0007-1447 2 5156 1959 Oct 31 British medical journal Br Med J Apparent foetal death due to compression of prolapsed umbilical cord. 868 FULTON G A GA BURNETT N T NT eng Journal Article England Br Med J 0372673 0007-1447 OM Disease Female Fetal Death Fetus Humans Pregnancy Pregnancy Complications Umbilical Cord FETUS UMBILICAL CORD/diseases 1959 10 31 1959 10 31 0 1 1959 10 31 0 0 ppublish

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1959 British medical journal

20. Umbilical Cord Complications (Diagnosis)

are differentiated from an acardiac twin because an acardiac twin has some recognizable anatomic structures, whereas the teratoma is totally disorganized. This condition cannot be specifically diagnosed prenatally. Ultrasonography may reveal an umbilical cord mass. [ ] Obstetric management for an umbilical cord tumor is described above. Previous Next: Cord Prolapse If the umbilical cord presents in front of the fetal presenting part and the membranes rupture, the risk that the cord will prolapse through (...) the cervix into the vagina is significant. Occult prolapse occurs when the cord lies alongside the presenting part. Cord prolapse occurs in 0.6% of deliveries. The risk is increased with fetal malpresentations, especially when the presenting part does not fill the lower uterine segment, as is the case with incomplete breech presentations (5-10%), premature infants, and multiparous women. [ ] Causes include abnormal presentation, a long umbilical cord, polyhydramnios, prematurity, and an unengaged

2014 eMedicine.com

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