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Umbilical Cord Prolapse

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61. 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

62. 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

64. Telemedicine to Improve Use of Therapeutic Hypothermia in Rural Settings

will be defined as an umbilical cord pH of less than or equal to 7.0 or 5 minute APGAR score of less than or equal to 5 or a need for resuscitation (including respiratory support or chest compressions) or an abnormal exam (which may include flaccid tone, poor suck reflex or poor response to stimulation) or seizures at less than 6 hours of life. Moderate risk infants will be defined as an umbilical cord pH of less than or equal to 7.2 but greater than 7.0 or 5 minute APGAR score of less than 7 but greater than (...) 5 or a perinatal event (such as placental abruption, uterine rupture, cord prolapse, or fetal-maternal hemorrhage) or an abnormal exam (which may include a hyper-alert state). Exclusion Criteria: Infants older than 6 hours at the time Maine NET is requested and infants for whom TH is not an appropriate therapy (e.g. due to premature birth or moribund status) will be excluded. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you

2018 Clinical Trials

65. Fractionated Vs Single Dose Injection for Spinal C-Section in Patients With Pregnancy-Induced Hypertension

Volunteers: No Criteria Inclusion Criteria: with hypertension in pregnancy (gestational hypertension or preeclampsia) ASA II-III aged 18 - 40 years BMI 18.5 - 35 kg/m2 singleton pregnancy would undergo spinal anesthesia for emergency or semi-emergency caesarean section Exclusion Criteria: chronic hypertension eclampsia pulmonary edema cerebrovascular diseases type-2 diabetes mellitus and gestational diabetes placental abruption/previa/accreta umbilical cord prolapse gestational age <34 weeks estimated

2018 Clinical Trials

66. Vitelline fistula associated with omphalocele: Diagnostic dilemma? (Full text)

Vitelline fistula associated with omphalocele: Diagnostic dilemma? Combination vitelline fistula (VF) and omphalocele at birth is a rare congenital anomaly as a result disturbance in organogenesis with failure of normal return of intestines into the abdominal cavity and failed obliteration of the vitelline duct.A newborn presented with omphalocele sac with visible intestine, stoma like lesion with prolapsing mucosa just lateral to the umbilical cord and passage of meconium stool. Operative (...) surgery was confirmed an intact omphalocele sac and vitelline fistula. Fistulectomy, using wedge resection of the small bowel and primary closure abdominal wall defect.In our review of literature, VF associated with omphalocele had not been reported. Combination of anomaly maybe misleading, however, can be easily diagnosed the location of VF opening on the omphalocele sac, which is adjacent to the umbilical cord and luminal passage of meconium stool after birth. A fistulogram may be the best initial

2018 International journal of surgery case reports PubMed abstract

67. Preterm premature rupture of membranes : which criteria contraindicate home care management ? (Full text)

with PPROM managed as outpatients between 2009 and 2015. Complications were defined as the occurrence of one of these events: fetal death, placental abruption, umbilical cord prolapse, delivery outside maternity hospital, neonatal death.In all, 187 women with PPROMs were managed as outpatients, of whom 12 had a complication (6.4%). In the "complication" group, gestational age at diagnosis (P = 0.006) and at delivery (P < 0.001) were lower, with no difference in latency between these two events. Three

2018 Acta Obstetricia et Gynecologica Scandinavica PubMed abstract

68. A Quality Improvement Project

by ICU admissions (days) and total length of hospital stay (days) Indication for surgical intervention [ Time Frame: 1 year ] surgery is required if patient has one or more of the following reasons: non-reassuring fetal tracing, umbilical cord prolapse, peripartum hemorrhage, or emergency dilation and curettage. Role for obtaining additional studies [ Time Frame: 1 year ] determine by the number of additional testing including Labs, imaging or EKG a patient required on top of standard studies. nil (...) . Several metrics will be collected to evaluate this multidisciplinary quality improvement project, including maternal demographics, labor characteristics, and indication for surgical intervention. Additional data include level assigned, time of patient arrival in OR, type of surgery performed, and anesthetic delivered. Investigators will collect fetal delivery data, including Apgar scores and umbilical cord gases, as well as maternal delivery data, including estimated blood loss, time to uterine

2018 Clinical Trials

69. Nitric Oxide Donor Isosorbide Mono Nitrate for Cervical Ripening in Induction of Labor

pregnancy Invasive carcinoma cervix Pregnancy following repair for vesicovaginal fistula Prelabour rupture of membranes Previous Lower segment cesarean section. Umbilical cord prolapse. Established fetal distress Heart disease complicating Pregnancy Liver disease complicating Pregnancy Anemia complicating Pregnancy Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact

2018 Clinical Trials

70. One Plus One Equals Two, Will That do?

[ Time Frame: Blood sample is drawn from the umbilical cord within 1 minute after the birth of the baby and evaluated within 30 minutes ] Arterial pH in the umbilical cord Breastfeeding within 2 hours after birth [ Time Frame: 2 hours ] Number of women who breastfeed within 2 hours after birth Number of women with an assisted Instrumental delivery [ Time Frame: Recorded after birth (2 hours) ] Number of women with an instrumental delivery (vacuum extraction or forceps) Midwives experiences (...) as recorded in the local birth register Number of women with an episiotomy [ Time Frame: 4 hour ] Number of women who had an episiotomy performed during birth Number of women with perineal injury subtypes [ Time Frame: 4 hour ] Labial lacerations, periurethral tears, perinal tears grade I, and superficial vaginal tears. ICD-10 070.0 Apgar scores at birth, 1 and 5 min after birth [ Time Frame: 10 minutes ] Apgar score assessed by the midwife a 1,5.10 minutes after the baby is born pH in umbilical artery

2018 Clinical Trials

71. 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

72. AmniSure ROM test (Qiagen NV) for detection of fetal membrane rupture

to as preterm premature ROM (PPROM). PPROM management is much more complex and may require hospital admission to enable frequent monitoring for infection, prolapse or compression of the umbilical cord, and other potential complications. Since physicians must respond quickly to the substantial increase in risks after PROM or PPROM, these conditions must be detected soon after they occur. Final publication URL The report may be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Amniotic

2012 Health Technology Assessment (HTA) Database.

74. Acquired uterine arteriovenous fistula following dilatation and curettage: an uncommon cause of vaginal bleeding (Full text)

in an effort to preserve fertility. She successfully delivered a healthy baby boy at 39-week gestation via an emergent caesarian section due to a prolapsed umbilical cord 17 months after undergoing the uterine artery embolization.

2017 Radiology Case Reports PubMed abstract

75. Decision-to-Delivery Time Intervals in Emergency Caesarean Section Cases: Repeated cross-sectional study from Oman (Full text)

due to acute fetal distress, antepartum haemorrhage or umbilical cord prolapse at the Nizwa Hospital, Nizwa, Oman. Three audit cycles of three months each were conducted between April 2011 and June 2013, including an initial retrospective cycle and two prospective cycles following the implementation of improvement strategies to address factors causing DDI delays. Poor perinatal outcomes were defined as Apgar scores of <7 at five minutes, admission to the Special Care Baby Unit (SCBU

2017 Sultan Qaboos University medical journal PubMed abstract

76. A Bayesian Stepwise Discriminant Model for Predicting Risk Factors of Preterm Premature Rupture of Membranes: A Case-control Study (Full text)

A Bayesian Stepwise Discriminant Model for Predicting Risk Factors of Preterm Premature Rupture of Membranes: A Case-control Study Preterm premature rupture of membrane (PPROM) can lead to serious consequences such as intrauterine infection, prolapse of the umbilical cord, and neonatal respiratory distress syndrome. Genital infection is a very important risk which closely related with PPROM. The preliminary study only made qualitative research on genital infection, but there was no deep

2017 Chinese medical journal PubMed abstract

77. Effect of Fetal Sex on Maternal and Obstetric Outcomes (Full text)

create awareness that fetal sex is not just a random chance event but an interactive process between the mother, the placenta, and the fetus. The reported effects of male sex on the course of pregnancy and delivery include higher incidence of preterm labor in singletons and twins, failure of progression in labor, true umbilical cord knots, cord prolapse, nuchal cord, higher cesarean section rate, higher heart rate variability with increased frequency, and duration of decelerations without acidemia

2017 Frontiers in pediatrics PubMed abstract

78. Foley catheter for induction of labour filled with 30mL or 60mL: A randomized controlled trial. (Full text)

catheter ruptured twelve times in the 60mL group whereas this did not happen once in the 30mL group. One case of umbilical cord prolapse was observed in the 60mL group. No differences in neonatal outcomes and patient satisfaction were seen.For our primary outcome, no difference was observed between the Foley catheter balloon filled with 60mL and the one filled with 30mL. Yet, a Foley catheter filled with 60mL was associated in multiparous women with a higher rate of deliveries within eight hours after

2017 European journal of obstetrics, gynecology, and reproductive biology Controlled trial quality: predicted high PubMed abstract

79. Lying Down after Premature Rupture of the Membranes in Term Singleton Pregnancies: An Evidence-Based Recommendation? (Abstract)

Lying Down after Premature Rupture of the Membranes in Term Singleton Pregnancies: An Evidence-Based Recommendation? Objectives: In many countries pregnant women in term singleton pregnancies are advised by obstetricians and midwives to lie down immediately after rupture of membranes until engagement of the foetal head is confirmed. The horizontal positioning aims to prevent the prolapse of the umbilical cord. The objective of this systematic review is to assess the effects of the maternal (...) with a term singleton pregnancy had the event of an umbilical cord prolapse following premature rupture of membranes (0.008%). The study did not report on the presence of an engaged foetal head in this woman. Conclusions and implications: Recommendations cannot be made in favour or against the lying down positioning based solely on the single identified study. For that reason, the widespread recommendation given by obstetricians and midwives should be critically reassessed. Also, induction of maternal

2017 Zeitschrift Fur Geburtshilfe Und Neonatologie

80. 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

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