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Umbilical Cord Prolapse

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61. Vitelline fistula associated with omphalocele: Diagnostic dilemma? (PubMed)

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

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2018 International journal of surgery case reports

62. 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

63. 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

64. 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

65. 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

66. Preterm premature rupture of membranes : which criteria contraindicate home care management ? (PubMed)

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

67. IV fluid choice part 1: The SPLIT trial

Emergency doctor working in the community. FOAM enthusiast. Evidence based medicine junkie. “One special advantage of the skeptical attitude of mind is that a man is never vexed to find that after all he has been in the wrong.” - William Osler You may also like Published A simplified approach to the initial assessment and management of emergency department patients with umbilical cord prolapse Share this: Like this: Like Loading... Published A brief summary of the COMBAT trial looking at prehospital

2018 First10EM

68. I said "quiet"

this: Like this: Like Loading... AUTHOR Justin Morgenstern Emergency doctor working in the community. FOAM enthusiast. Evidence based medicine junkie. “One special advantage of the skeptical attitude of mind is that a man is never vexed to find that after all he has been in the wrong.” - William Osler You may also like Published A simplified approach to the initial assessment and management of emergency department patients with umbilical cord prolapse Share this: Like this: Like Loading... Published

2018 First10EM

69. Guidelines on intubation in critically ill patients

A simplified approach to the initial assessment and management of emergency department patients with umbilical cord prolapse Share this: Like this: Like Loading... Published An approach to managing important pre-intubation physiology Share this: Like this: Like Loading... Leave a Reply Post navigation Previous post Next post © 2019 – All rights reserved Powered by Search Send to Email Address Your Name Your Email Address Post was not sent - check your email addresses! Email check failed, please try again

2018 First10EM

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. 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

2016 PDQ - NCI's Comprehensive Cancer Database

72. Maternal Collapse in Pregnancy and the Puerperium

clamps for the cord. In the absence of a specific tray, a scalpel alone will enable delivery of the fetus and placenta and cutting the cord, which can then be manually compressed until a clamp is found if the baby is alive. 4.6 What does the continuing management consist of? Senior staff with appropriate experience should be involved at an early stage. Transfer should be supervised by an adequately skilled team with appropriate equipment. Continuing management depends very much on the underlying

2011 Royal College of Obstetricians and Gynaecologists

73. Cardiovascular Diseases during Pregnancy

of neonatal complications are listed in Table 8. Table 7 Modi?ed WHO classi?cation of maternal cardiovascular risk: application Conditions in which pregnancy risk is WHO I • Uncomplicated, small or mild - pulmonary stenosis - patent ductus arteriosus - mitral valve prolapse • Successfully repaired simple lesions (atrial or ventricular septal defect, patent ductus arteriosus, anomalous pulmonary venous drainage). • Atrial or ventricular ectopic beats, isolated Conditions in which pregnancy risk is WHO II

2011 European Society of Cardiology

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

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

75. Acquired uterine arteriovenous fistula following dilatation and curettage: an uncommon cause of vaginal bleeding (PubMed)

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.

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2017 Radiology Case Reports

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

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

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2017 Sultan Qaboos University medical journal

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

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

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2017 Frontiers in pediatrics

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

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

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2017 Chinese medical journal

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

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

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

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