How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

192 results for

Umbilical Cord Prolapse

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

41. Induction of labour

· If clinically indicated, prepare for instrumental birth or CS 1 (e.g. FHR does not return to normal) Cord prolapse 1 · A potential risk at the time of membrane rupture especially when the membranes are ruptured artificially · To reduce the likelihood of cord prolapse: o Before ARM, assess engagement of the presenting part o If the baby’s head is high, avoid ARM o Palpate for umbilical cord presentation during the VE o Avoid dislodging the baby’s head during the VE Uterine rupture · An uncommon event (...) · Favourable cervix (MBS of 7 or more) 9,97 · ARM alone is not recommended as time to onset of contractions is unpredictable 9 , particularly in nulliparous women [refer to Section 4.4 Oxytocin] · To observe the colour and amount of liquor when clinically indicated Relative contraindication · Poor application of the presenting part/unstable lie 9 · Fetal head not engaged 9 (5/5 above the pelvic brim) Risk/benefit · Risk of: cord prolapse 9 or compression 36 , rupture of vasa praevia 97 , pain

2018 Queensland Health

42. Neuro-urology

of Urology (EAU) Guidelines on Neuro-Urology. Eur Urol, 2015. 5. Nosseir, M., et al. Clinical usefulness of urodynamic assessment for maintenance of bladder function in patients with spinal cord injury. Neurourol Urodyn, 2007. 26: 228. 6. Panicker, J.N., et al. Lower urinary tract dysfunction in the neurological patient: clinical assessment and management. Lancet Neurol, 2015. 14: 720. 7. Guyatt, G.H., et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ (...) ., et al. Effect of cerebrospinal fluid shunt surgery on lower urinary tract dysfunction in idiopathic normal pressure hydrocephalus. Neurourol Urodyn, 2018. 37: 1053. 31. Singh, A., et al. Global prevalence and incidence of traumatic spinal cord injury. Clin Epidemiol, 2014. 6: 309. 32. Weld, K.J., et al. Association of level of injury and bladder behavior in patients with post-traumatic spinal cord injury. Urology, 2000. 55: 490. 33. Kondo, A., et al. Neural tube defects: prevalence, etiology

2018 European Association of Urology

43. CrackCAST E129 – Bacteria

eema Subconjunctival hemorrhage Petechiae Epistaxsis Hemoptysis Subcutaneous emphysema Pneumothorax Pneumomediastinum Diaphragmatic rupture Umbilical and inguinal hernias Rectal Prolapse [6] What is the mechanism of action of the tetanus toxin? What are 4 types of tetanus? Tetanus is a toxin-mediated disease characterized by severe uncontrolled skeletal muscle spasms. Respiratory muscle involvement leads to hypoventilation, hypoxia, and death. Mechanism of action – C. tetani produces the neurotoxin (...) III, IV, VII, IX, X, or XII ipsilateral to the site of local infection. May progress to generalized tetanus Neonatal Aka generalized tetanus of the newborn Occurs almost exclusively in developing countries where maternal immunization is inadequate and contaminated material is used to cut and dress umbilical cords . Symptoms begin during the first week of life and include irritability and poor feeding. Mortality approaches 100% because of the high toxin load for body weight and inadequate medical

2017 CandiEM

44. RANZCOG Home Births

Green-top Guideline - Published 2016 Useful Clinical Guidance Shoulder Dystocia RCOG Green-top Guideline - Published 2012 Useful Clinical Guidance Small-for-Gestational-Age Fetus, The Investigation and Management of RCOG Green-top Guideline - Published 2013 Useful Clinical Guidance Third- and Fourth-Degree Perineal Tears, The Management of RCOG Green-top Guideline - Published 2015 Useful Clinical Guidance Umbilical Cord Prolapse RCOG Green-top Guideline - Published 2014 Useful Clinical Guidance (...) for Consultation and Referral (3rd Edition, Issue 2) Australian College of Midwives (ACM) - Endorsed 2015 General RANZCOG Diethylstilboestrol (DES) Exposure in Utero (C-Obs 56) RANZCOG Exercise During Pregnancy (C-Obs 62) RANZCOG Assisted Reproductive Treatment for Women of Advanced Maternal Age (C-Obs 52) RANZCOG Misoprostol in Obstetrics,The Use of (C-Obs 12) RANZCOG Substance Use in Pregnancy (C-Obs 55) RANZCOG Altruistic and Directed Umbilical Cord Blood Banking for Families at Risk (C-Obs 18) RANZCOG

2017 Clinical Practice Guidelines Portal

45. Surgical Treatment of Female Stress Urinary Incontinence (SUI): AUA/SUFU Guideline

stress urinary incontinence ? Known or suspected neurogenic lower urinary tract dysfunction ? Abnormal urinalysis, such as unexplained hematuria or pyuria ? Urgency-predominant mixed urinary incontinence ? Elevated post-void residual per clinician judgment ? High grade pelvic organ prolapse (POP-Q stage 3 or higher) if stress urinary incontinence not demonstrated with pelvic organ prolapse reduction ? Evidence of significant voiding dysfunction 3. Physicians may perform additional evaluations (...) in patients with the following conditions: (Expert Opinion) ? Concomitant overactive bladder symptoms ? Failure of prior anti-incontinence surgery ? Prior pelvic prolapse surgery CYSTOSCOPY AND URODYNAMICS TESTING 4. Physicians should not perform cystoscopy in index patients for the evaluation of stress urinary incontinence unless there is a concern for urinary tract abnormalities. (Clinical Principle) 5. Physicians may omit urodynamic testing for the index patient desiring treatment when stress urinary

2017 Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction

46. Approaches to Limit Intervention During Labor and Birth

in terms of patient satisfaction, frequencies of 5-minute Apgar scores less than 7, umbilical cord prolapse, and abnormal fetal heart rate patterns ( ). Another study evaluated the combination of early amniotomy with oxytocin augmentation as a joint intervention for women in spontaneous labor or for women with mild delays in labor progress ( ). This meta-analysis of 14 trials found that amniotomy together with oxytocin augmentation is associated with modest reduction in the duration of the first stage (...) RCTs did not find lower umbilical cord pH values or increased rates of neonatal hypoglycemia after continuous administration of 5% dextrose in normal saline ( , ). Maternal Position During Labor Observational studies of maternal position during labor have found that women spontaneously assume many different positions during the course of labor ( ). There is little evidence that any one position is best. Moreover, the traditional supine position during labor has known adverse effects such as supine

2017 American College of Obstetricians and Gynecologists

47. Surgical Treatment of Female Stress Urinary Incontinence (SUI): AUA/SUFU Guideline

, which includes those with high-grade prolapse as well as geriatric patients. Topics covered include evaluation and patient counseling, minimally invasive surgery procedures, outcomes assessment, and overall bladder health. [pdf] [pdf] [pdf] Panel Members Kathleen C. Kobashi, MD, FACS, FPMRS; Michael E. Albo, MD; Roger R. Dmochowski, MD; David A. Ginsberg, MD; Howard B. Goldman, MD; Alexander Gomelsky, MD; Stephen R. Kraus, MD, FACS; Jaspreet S. Sandhu, MD; Tracy Shepler; Jonathan R. Treadwell, PhD (...) on symptoms and initial evaluation Inability to demonstrate stress urinary incontinence Known or suspected neurogenic lower urinary tract dysfunction Abnormal urinalysis, such as unexplained hematuria or pyuria Urgency-predominant mixed urinary incontinence Elevated post-void residual per clinician judgment High grade pelvic organ prolapse (POP-Q stage 3 or higher) if stress urinary incontinence not demonstrated with pelvic organ prolapse reduction Evidence of significant voiding dysfunction Physicians

2017 American Urological Association

48. Intrapartum care for healthy women and babies

a show the presence of significant meconium (see recommendation 1.5.2) pain reported by the woman that differs from the pain normally associated with contractions confirmed delay in the first or second stage of labour request by the woman for additional pain relief using regional analgesia obstetric emergency – including antepartum haemorrhage, cord prolapse, postpartum haemorrhage, maternal seizure or collapse, or a need for advanced neonatal resuscitation retained placenta third-degree or fourth (...) notes that indicate the need for obstetric led care. Observations of the unborn baby: any abnormal presentation, including cord presentation transverse or oblique lie high (4/5–5/5 palpable) or free-floating head in a nulliparous woman suspected fetal growth restriction or macrosomia suspected anhydramnios or polyhydramnios fetal heart rate below 110 or above 160 beats/minute Intrapartum care for healthy women and babies (CG190) © NICE 2019. All rights reserved. Subject to Notice of rights (https

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

49. Practice Guidelines for Obstetric Anesthesia

techniques in preference to GA for most cesarean deliveries; (4) if spinal anesthesia is chosen, use pencil-point spinal needles instead of cutting-bevel spinal needles; (5) for urgent cesarean delivery, an indwelling epidural catheter may be used as an alternative to initiation of spinal anesthesia; and (6) GA may be the most appropriate choice in some circumstances ( e.g. , profound fetal bradycardia, ruptured uterus, severe hemorrhage, severe placental abruption, umbilical cord prolapse, and preterm (...) with GA ( Category A2-B evidence ) and equivocal findings for umbilical artery pH values ( Category A2-E evidence ). , When spinal anesthesia is compared with GA, RCTs report equivocal findings for 1- and 5-min Apgar scores and umbilical artery pH values ( Category A1-E evidence ). , RCTs also are equivocal regarding total time in the operating room when epidural , , , , or spinal , anesthesia is compared with GA ( Category A2-E evidence ). When spinal anesthesia is compared with epidural anesthesia

Full Text available with Trip Pro

2016 American Society of Anesthesiologists

50. Neonatal resuscitation

(epinephrine) 25 7.2 Volume expanding fluids 26 8 Special circumstances 27 8.1 Preterm baby 27 8.2 Other special circumstances 28 8.3 Congenital anomalies 29 9 Care after resuscitation 30 9.1 Cord blood sampling 30 9.1.1 Umbilical artery cord blood gases 30 9.2 Continuing clinical care 31 9.3 Monitoring and management 32 10 Ethical considerations 33 References 34 Appendix A Equipment and medications for neonatal resuscitation 35 Appendix B Oxygen/air mix and target oxygen saturation 36 Appendix C (...) Administration of volume expanding fluids 26 Table 23 Preterm baby 27 Table 24 Other special circumstances 28 Table 25 Congenital anomalies 29 Table 26 Cord blood gas sampling 30 Table 27 Umbilical artery cord blood gases 30 Table 28 Continuing clinical care 31 Table 29 Monitoring and management 32 Table 30 Ethical considerations 33 Table of Figures Figure 1 Rounded doses of IV adrenaline (epinephrine) 1:10,000 25 Queensland Clinical Guideline: Neonatal resuscitation Refer to online version, destroy printed

2016 Clinical Practice Guidelines Portal

51. Neonatal resuscitation

(epinephrine) 25 7.2 Volume expanding fluids 26 8 Special circumstances 27 8.1 Preterm baby 27 8.2 Other special circumstances 28 8.3 Congenital anomalies 29 9 Care after resuscitation 30 9.1 Cord blood sampling 30 9.1.1 Umbilical artery cord blood gases 30 9.2 Continuing clinical care 31 9.3 Monitoring and management 32 10 Ethical considerations 33 References 34 Appendix A Equipment and medications for neonatal resuscitation 35 Appendix B Oxygen/air mix and target oxygen saturation 36 Appendix C (...) Administration of volume expanding fluids 26 Table 23 Preterm baby 27 Table 24 Other special circumstances 28 Table 25 Congenital anomalies 29 Table 26 Cord blood gas sampling 30 Table 27 Umbilical artery cord blood gases 30 Table 28 Continuing clinical care 31 Table 29 Monitoring and management 32 Table 30 Ethical considerations 33 Table of Figures Figure 1 Rounded doses of IV adrenaline (epinephrine) 1:10,000 25 Queensland Clinical Guideline: Neonatal resuscitation Refer to online version, destroy printed

2016 Clinical Practice Guidelines Portal

52. Polyhydramnios in singleton pregnancies

to search for evidence of a pathological condition in the fetus or pregnant woman. A control program is then initiated to see if the amnion volume increases, if the fetus is affected or if the pregnant woman gets symptoms. To avoid pregnancy and birth related complications such as preterm birth, PPROM, placental abruption, fetal distress, cord prolapse, dystocia, and postpartum hemorrhage, it is important to have a plan to control the pregnant woman with polyhydramnios during pregnancy and delivery (...) hydramnios. Fetal Diagn Ther 2002; 17(1):48-51. 93. Hershkovitz R, Furman B, Bashiri A, Hallak M, Sheiner E, Smolin A et al. Evidence for abnormal middle cerebral artery values in patients with idiopathic hydramnios. J Matern Fetal Med 2001; 10(6):404-408. 94. Räisänen S, Georgiadis L, Harju M, Keski-Nisula L, Heinonen S. True umbilical cord knot and obstetric outcome. Int J Gynaecol Obstet 2013; 122(1):18-21. 95. Beischer N, Desmedt E, Ratten G, Sheedy M. The significance of recurrent polyhydramnios

2016 Nordic Federation of Societies of Obstetrics and Gynecology

53. Prophylactic manual rotation for fetal malposition to reduce operative delivery. (PubMed)

duration of labour).In terms of adverse events, there were no reported cases of umbilical cord prolapse or cervical laceration and a single case of a non-reassuring or pathological cardiotocograph during the procedure.Currently, there is insufficient evidence to determine the efficacy of prophylactic manual rotation early in the second stage of labour for prevention of operative delivery. One additional study is ongoing. Further appropriately designed trials are required to determine the efficacy

Full Text available with Trip Pro

2014 Cochrane

54. Childhood Hematopoietic Cell Transplantation (PDQ®): Health Professional Version

that this observation in unrelated donors differs from observations in cord blood recipients, outlined below. HLA matching and cell dose considerations for unrelated cord blood HCT Another commonly used hematopoietic stem cell source is that of unrelated umbilical cord blood, which is harvested from donor placentas moments after birth. The cord blood is processed, HLA typed, cryopreserved, and banked. Unrelated cord blood transplantation has been successful with less stringent HLA matching requirements compared (...) and Marrow Transplantation analysis disputes the value of this type of mismatching.[ ] Two aspects of umbilical cord blood HCT have made the practice more widely applicable. First, because a successful procedure can occur with multiple HLA mismatches, more than 95% of patients from a wide variety of ethnicities are able to find at least a 4/6-matched cord blood unit.[ , ] Second, as mentioned above, adequate cell dose (minimum 2–3 × 10 7 total nucleated cells/kg and 1.7 × 10 5 CD34+ cells/kg) has been

2018 PDQ - NCI's Comprehensive Cancer Database

55. Core Competencies for Management of Labour

of a Primary Care Provider. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 7 . Postpartum Hemorrhage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 8A. Obstetrical Emergencies – Cord Prolapse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 8B. Obstetrical Emergencies – Shoulder Dystocia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81Perinatal Services BC Copyright © 2011 - PSBC MANAGEMENT (...) if the Primary Maternal Care Provider is Absent 1 . Obstetrical T riage and Assessment 2. Intrapartum Fetal Health Surveillance 3. Assessment and Immediate Management of Preterm Labour/Birth 4. Evaluation of Progress of Labour/Dystocia 5. Discomfort and Pain in Labour 5a . Administration of Nitrous Oxide 6. Birth in the Absence of a Primary Care Provider 7 . Postpartum Hemorrhage 8a . Obstetrical Emergencies – Cord Prolapse 8b . Obstetrical Emergencies – Shoulder DystociaCore Nursing Practice Competencies

2014 British Columbia Perinatal Health Program

56. Perinatal Management of Pregnant Women at the Threshold of Infant Viability? the Obstetric Perspective

(< or =1,250 g) infant: experience from a district general hospital in UK. Arch Gynecol Obstet 2008;277:207–12. 44. Knight M, Berg C, Brocklehurst P, Kramer M, Lewis G, Oats J, et al. Amniotic fluid embolism incidence, risk factors and outcomes: a review and recommendations. BMC Pregnancy Childbirth 2012;12:7. 45. Royal College of Obstetricians and Gynaecologists. Umbilical Cord Prolapse. Green–top Guideline No. 50. London;RCOG:2008. 46. Dufour P, Vinatier D, Puech F. The use of intravenous nitroglycerin (...) and induction of labour with intact membranes at the threshold of viability. 44 Cord prolapse is more common in preterm deliveries, particularly in non–cephalic presentations and should be managed in accordance with current guidelines if cord prolapse were to occur. 45 In breech deliveries entrapment of the fetal head affects approximately 9.3% of vaginally delivered neonates and Scientific Impact Paper 41 © Royal College of Obstetricians and Gynaecologists 5 of 155.6% of neonates delivered by caesarean

2014 Royal College of Obstetricians and Gynaecologists

57. Dog Bite Management: The Evidence

medicine articles appraised to keep your practice informed. Share this: Like this: Like Loading... Published A monthly (ish) summary of the emergency medicine literature Share this: Like this: Like Loading... Published A handout for the EBM portion of the Hardcore EM seminar at #dasSMACC Share this: Like this: Like Loading... Published A simplified approach to the initial assessment and management of emergency department patients with umbilical cord prolapse Share this: Like this: Like Loading... Leave

2019 First10EM

58. Neuro-urology

-reviewed prior to publication. 1.3 Panel composition The EAU Neuro-Urology Guidelines panel consists of an international multidisciplinary group of experts, including urologists specialised in the care of spinal cord injured (SCI) patients and a specialist in the field of urodynamic technologies. 1.4 Background The function of the LUT is mainly storage and voiding of urine, which is regulated by the nervous system that coordinates the activity of the urinary bladder and bladder outlet. Any disturbance (...) leak point pressure > 40 cm H 2 O and low bladder compliance are the main risk factors for renal damage [10]. In recent years, adequate diagnosis and treatment of neuro-urological symptoms in patients with spinal cord lesions have improved the situation of these patients. Nowadays, respiratory diseases are the most frequent (21%) cause of death in patients with SCI [11].NEURO-UROLOGY - LIMITED UPDATE MARch 2015 5 In all other patients with neuro-urological symptoms, the risk of renal damage

2015 European Association of Urology

59. Safe Prevention of the Primary Cesarean Delivery

rate of cesarean delivery (0%) compared with those managed without manual rotation (23%, P=.001) ( ). A large, retrospective cohort study found a similar large reduction in cesarean delivery (9% versus 41%, P< .001) associated with the use of manual rotation (43). Of the 731 women in this study who underwent manual rotation, none experienced an umbilical cord prolapse. Further, there was no difference in either birth trauma or neonatal acidemia between neonates who had experienced an attempt (...) with abnormal neonatal arterial umbilical cord pH, encephalopathy, and cerebral palsy ( ). Intrauterine resuscitative efforts––including maternal repositioning and oxygen supplementation, assessment for hypotension and tachysystole that may be corrected, and evaluation for other causes, such as umbilical cord prolapse––should be performed expeditiously; however, when such efforts do not quickly resolve the Category III tracing, delivery as rapidly and as safely possible is indicated. The American College

2014 American College of Obstetricians and Gynecologists

60. Stem Cell Therapies in Obstetrics and Gynaecology

into a mature cell type. Totipotent stem cells, from the morula, can differentiate into embryonic and extraembryonic cell types, and can produce a complete and viable organism. Pluripotent stem cells descend from totipotent cells and differentiate into tissues derived from any of the three germ layers, including fetal tissues (amniotic fluid cells, the amnion, umbilical cord and placenta). Embryonic stem cells are pluripotent, having been derived from the inner cell mass of a blastocyst. Multipotent stem (...) and allogeneic use. 11 3. Sample collection and stem cell banking The use of fetal and perinatal stem cells in regenerative medicine should be regulated through appropriate institutional and regulatory boards. Protocols for optimal collection of such tissues should maximise the quantity and quality of stem cells derived prior to their banking within Good Manufacturing Practice (GMP) facilities. The banking of umbilical cord blood (UCB) is an established process in many centres worldwide, is a source of HSC

2013 Royal College of Obstetricians and Gynaecologists

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>