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Umbilical Cord Prolapse

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81. 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.

82. PPROM Registry (Preterm Premature Rupture of Membranes)

. Condition or disease Intervention/treatment Fetal Membranes, Premature Rupture Preterm Premature Rupture of the Membranes Oligohydramnios Premature Birth Other: There is no intervention associated with this study. Detailed Description: Detailed Description Preterm Premature Rupture of Membranes (pProm) is a factor in 40% of preterm births. The earlier in pregnancy pProm occurs, the greater the potential latency period. Threats to the pregnancy include placental abruption, umbilical cord prolapse

2016 Clinical Trials

83. Bakri Balloon in Placenta Previa

and fixed, with cephalad traction applied continuously to the balloon, preventing balloon prolapse.The abdominal traction stitch is fixed by an umbilical cord clamp on the abdominal wall, preventing the suture from receding into the abdominal cavity, and, thus, maintaining the correct position of the balloon and preventing prolapse. Removal of the balloon is easy, with no resistance; the suture does not hinder balloon removal. At the time of balloon removal, the suture that was placed through (...) and Interventions Go to Arm Intervention/treatment Active Comparator: Bakri Balloon with abdominal traction stitch bakri balloon will be inserted with abdominal traction stitch Procedure: Abdominal traction stitch Abdominal traction stitch to prevent prolapse of the Bakri balloon. A suture is tied through the uterine end shaft hole of the Bakri balloon. The other end of the suture is placed through the uterine wall. The balloon is positioned in the lower segment.The abdominal traction stitch is held by forceps

2016 Clinical Trials

84. Is More Than One Dose of Misoprostol Needed to Expedite Vaginal Delivery in a Patient With an Unripe Cervix?

pregnant woman undergoing induction of labor Live singleton pregnancy ≥ 37 week gestation Bishop score < 6 Category I fetal heart rate Exclusion Criteria: Contraindications to vaginal delivery (e.g. vasa previa, placenta prevue,non-vertex presentation, umbilical cord prolapse, and active genital herpes infection.) Pregnancies complicated by major fetal anomalies Any contraindication to the use of misoprostol, including History of previous c-section or major uterine surgery Prior allergic reaction

2016 Clinical Trials

85. Hyperbaric Oxygen Therapy Improves Outcome of Hypoxic-Ischemic Encephalopathy

prolapse, cord rupture, uterine rupture, maternal trauma, hemorrhage, or cardiorespiratory arrest) With an Apgar score ≤ 3 at one minute and ≤5 at five minutes, and/or a potential of hydrogen of 7.0 or less or a base deficit of 16 mmol per liter or more in a sample of umbilical-cord blood or any blood during the first hour after birth. Having moderate-to-severe encephalopathy (indicated by lethargy, stupor, or coma) and either hypotonia, abnormal reflexes (including oculomotor or pupillary (...) deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible for Study: up to 7 Days (Child) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Newborn infants whose gestational age ≥37 weeks' gestation, weighing over 2500 g ; Acute perinatal event (e.g., late or variable decelerations, cord

2016 Clinical Trials

86. External cephalic version in premature rupture of membranes: a systematic review. (PubMed)

. The primary outcome was rate of cephalic vaginal delivery. Statistical analysis was performed for continuous outcomes by calculating mean and standard deviations for appropriate variables.The systematic review yielded six papers with 13 case reports and no clinical trials of ECV after PROM. The rate of success to cephalic presentation was 46.1% (six of 13 cases), with a subsequent vaginal delivery rate of 23.1% (three of 13 cases). The rate of umbilical cord prolapse was 33.3% (two of six cases).ECV after (...) PROM has been reported in 13 cases in the literature. For the cases reported, 46.1% of ECV were successful in turning to cephalic position, but only 23.1% resulted in a vaginal delivery. There was a 33.3% incidence of umbilical cord prolapse. Given the high rate of umbilical cord prolapse, it would be imperative to offer an ECV in the setting of PROM only at an institution that has the ability to perform the indicated emergent cesarean delivery and only after appropriate counseling.

2016 The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians

87. Nonreassuring Fetal Status

Studies (from Trip Database) Ontology: Fetal Hypoxia (C0349489) Definition (NCI_FDA) Caused by conditions such as inadequate placental function (often abruptio placentae), preeclamptic toxicity, prolapse of the umbilical cord, or complications from anesthetic administration. Definition (NCI) Hypoxia in utero, caused by conditions such as inadequate placental function (often abruptio placentae), preeclamptic toxicity, prolapse of the umbilical cord, or complications from anesthetic administration

2018 FP Notebook

88. Pendant Position and Traditional Sitting Position for Successful Spinal Puncture in Spinal Anaesthesia

contraindication for spinal anesthesia (infection on injection site, coagulation disorder, severe hypovolemia, increased intracranial pressure, aortic and/or mitral stenosis) pregnancy with head entrapment of the fetus, umbilical cord prolapse, feet presentation, Patient with eclampsia Patient with cardiovascular diseases Patient with scoliosis Patient with history of lumbar surgery Patient with unpalpable intervertebral space due to thick fatty tissue or edema. Drop out criteria: - spinal block was failed

2016 Clinical Trials

89. Nanofibrous biomimetic mesh can be used for pelvic reconstructive surgery: A randomized study. (PubMed)

and/or products for POP treatment. A nanofibrous biomimetic mesh was recently developed to address this issue.In this study, the basic properties of the newly developed mesh, including structural characteristics, mechanical properties, biological response of human umbilical cord mesenchymal stem cells in vitro, and tissue regeneration and biocompatibility in vivo, were evaluated and compared with those of Gynemesh™PS.Scanning electron microscopy and uniaxial tensile methods were used to evaluate (...) of each type were tested for 1, 4, 8 and 12 weeks. Connective tissue organization, inflammation, vascularization, and regenerated tissue were histologically assessed.The nanofibrous biomimetic mesh is a relatively heavy material and exhibited lower porosity than Gynemesh(TM)PS. The new mesh was stiffer than Gynemesh(TM)PS (p<0.001) but supported human umbilical cord mesenchymal stem cell attachment. Erosion of the grafts did not occur in any animal. The nanofibrous biomimetic mesh was encapsulated

2016 Journal of the mechanical behavior of biomedical materials

90. Making it Stick

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

2016 First10EM

91. Factors associated with post-cesarean stillbirth in 12 hospitals in Benin: a cross-sectional (PubMed)

), the retro-placental hematoma (p = 0.0083), and the umbilical cord prolapse (p = 0.0229). Acute fetal distress (p = 0.0308) and anesthesia administered by an anesthetist nurse or midwife (p = 0.0337) were protective factors.The majority of cases, in utero death occurred before admission to hospital. Strengthening antenatal refocused consultation, a better access to quality obstetric care and the grant of all obstetric care could reduce stillbirths from caesarean sections in Benin.

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2016 The Pan African medical journal

92. Late Intrauterine Fetal Death and Stillbirth

visualisation of the fetal heart. Imaging can be technically difficult, particularly in the presence of maternal obesity, abdominal scars and oligohydramnios, but views can often be augmented with colour Doppler of the fetal heart and umbilical cord. In addition to the absence of fetal cardiac activity, other secondary features might be seen: collapse of the fetal skull with overlapping bones, 8 hydrops, or maceration resulting in unrecognisable fetal mass. Intrafetal gas (within the heart, blood vessels (...) associated antepartum conditions include congenital malformation, congenital fetal infection, antepartum haemorrhage, pre-eclampsia and maternal disease such as diabetes mellitus. 3,4 The common causes of intrapartum death include placental abruption, maternal and fetal infection, cord prolapse, idiopathic hypoxia–acidosis and uterine rupture. 3,4 Transplacental infections associated with IUFD include cytomegalovirus 30 (Evidence level 2+), syphilis 31–34 (Evidence level 1+) and parvovirus B19 34,35

2010 Royal College of Obstetricians and Gynaecologists

93. Inducing labour

attempt to induce labour (the timing should depend on the clinical situation and the woman's wishes) caesarean section (refer to 'Caesarean section' [NICE clinical guideline 13]). 1.7.2.4 For women who choose caesarean section after a failed induction, recommendations in 'Caesarean section' (NICE clinical guideline 13) should be followed. 1.7.3 1.7.3 Cord prolapse Cord prolapse 1.7.3.1 T o reduce the likelihood of cord prolapse, which may occur at the time of amniotomy, the following precautions (...) should be taken: Before induction, engagement of the presenting part should be assessed. Obstetricians and midwives should palpate for umbilical cord presentation during the preliminary vaginal examination and avoid dislodging the baby's head. Amniotomy should be avoided if the baby's head is high. 1.7.3.2 Healthcare professionals should always check that there are no signs of a low- lying placental site before membrane sweeping and before induction of labour. 1.7.4 1.7.4 Uterine rupture Uterine

2008 National Institute for Health and Clinical Excellence - Clinical Guidelines

94. Intrapartum fetal surveillance

cardiotocography 13 3.6.1 Special Considerations 14 4 Cardiotocograph 15 Features in labour 15 Normal CTG 16 Fetal compromise 17 Management of reversible causes of abnormal CTG 18 5 Intrapartum fetal blood sampling 19 Interpretation of fetal blood sampling results 20 5.1.1 *Special considerations for fetal scalp lactate measurements 20 6 Paired umbilical cord blood gas or lactate analysis 21 Normal cord blood values 22 7 Other methods of fetal monitoring 22 References 23 Appendix A: Interpretation of CTG 25 (...) . Description of normal FHR 16 Table 12. Compromised fetus 17 Table 13. Reversible causes of abnormal CTG 18 Table 14. Intrapartum fetal blood sampling 19 Table 15. Intrapartum fetal blood sampling results 20 Table 16. Paired umbilical cord sampling 21 Table 17 Cord blood sampling outcome 22 Table 18 Normal cord blood gas and lactate (at birth) 22 Queensland Clinical Guideline: Intrapartum fetal surveillance Refer to online version, destroy printed copies after use Page 7 of 30 1 Introduction The principal

2010 Clinical Practice Guidelines Portal

95. Clinical Practice Guideline on Care in Normal Childbirth

Repair 138 6.9. Kristeller Manoeuvre 147 7. Third stage of labour 149 7.1. Duration of theThird Stage of Labour 149 7.2. Managing the Third Stage of Labour 151 7.3. Use of Uterotonics 153 7.4. IV Dose of Oxytocin for Actively Managed Delivery 158 8. Care for Neonates 161 8.1. Clamping the Umbilical Cord 161 It has been 5 years since the publication of this Clinical Practice Guideline and it is subject to updating. CLINICAL PRACTICE GUIDELINES IN THE SPANISH HEALTHCARE SYSTEM 6 8.2. Skin-to-Skin (...) of intravenous (IV) oxytocin for the active management of the third stage of labour? V . Care of Neonates Clamping the Umbilical Cord 39. What is the most suitable time to champ the umbilical cord? Skin-to-Skin Contact 40. What is the benefit of skin-to-skin contact? Breastfeeding 41. Should the neonate take the breast spontaneously? Bathing the Neonate 42. What is the effect of bathing the neonate? Nasopharyngeal Aspiration and Gastro-Rectal Examination in Neonatal Period It has been 5 years since

2010 GuiaSalud

96. Cervical Ripening for Obese Women: A Randomized, Comparative Effectiveness Trial

/Failure to progress = Cord prolapse = Non-reassuring fetal tracing = Malpresentation = Placental abruption = Other Induction-to-delivery interval in hours [ Time Frame: Induction to delivery ] Number of participants with a need for oxytocin augmentation [ Time Frame: Induction to delivery ] Number of participants exhibiting tachysystole requiring terbutaline or Pitocin cessation [ Time Frame: Induction to delivery ] Tachysystole is indicated ≥ 5 contractions in a 10 minute period averaged over a 30 (...) with culture-proven sepsis [ Time Frame: From delivery to neonatal discharge (approximately 2 to 7 days) ] Number of newborns with seizures [ Time Frame: From delivery to neonatal discharge (approximately 2 to 7 days) ] Composite neonatal morbidity as indicated by the number of newborns with measures of neonatal morbidity [ Time Frame: From delivery to neonatal discharge (approximately 2 to 7 days) ] Measures of neonatal morbidity assessed: Apgar score ≤ 7 at 5 mins Umbilical cord pH < 7.1 Neonatal injury

2015 Clinical Trials

97. Effects of Mother Position in Skin-to-skin Contact Newborn on Oxygen Saturation Levels.

, anticonvulsants, antipsychotics, benzodiazepines, anxiolytics, hypnotics, antidepressants and sedative plants. Post randomization exclusion criteria (at the end of delivery) Related to childbirth: Caesarean section or instrumental delivery (forceps, vacuum) Maternal fever >38 degrees Celsius Mother hemodynamic instability (hypotension, tachycardia, altered level of consciousness, poor perfusion, striking pallor) Cord prolapse Signs of fetal distress with lower pH fetal scalp <7.25 or umbilical artery pH <7.20 (...) : It can include: Newborns with intrauterine diagnosis of ectasia pyelocaliceal grades I and/or II, choroid plexus cysts, aberrant right subclavian artery or single umbilical artery (minor malformations). Newborns whose time broken bag is ≥ to 18 hours provided that they do not present clinic(4). Newborn with risk of infection without symptoms at birth. Newborn with stained amniotic fluid, born crying, who does not require tracheal aspiration, or resuscitation and shows no clinical(4) signs during

2015 Clinical Trials

98. Colloid Pre-Loading on D-Dimer During Cesarean Section Under Spinal Anesthesia

Known hypersensitivity reaction to local anesthetic, starch allergy Height < 150 cm and > 180 cm Weight < 50 kg and > 100 kg Patient refusing spinal anesthesia Fetal anomalies Fetal distress or cases with umbilical cord prolapsed 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 information provided by the sponsor. Please refer to this study by its ClinicalTrials.gov (...) minutes ] Blood samples for detection of D-Dimer were taken from the mother preoperatively (before colloid administration) and another one at the end of the operation Coagulation defect (detection of D-Dimer) of the baby [ Time Frame: Pre and post cesarean delivery, an expected average of 90 minutes ] Blood sample for detection of D-Dimer was taken from the umbilical cord of the fetus before clamping Secondary Outcome Measures : Maternal hypotension (fall of > 20% of MAP (mm Hg ) from baseline) [ Time

2015 Clinical Trials

99. Long Term Prognostic of Neonatal Hypoxic Ischemic Encephalopathy With Hypothermia Treatment

of 7.0 or less or a base deficit of 16 mmol per liter or more in a sample of umbilical-cord blood or any blood sampled in the first hour after birth. If, during this interval, the pH is between 7.01 and 7.15, base deficit is between 10 and 15.9 mmol per liter, or blood gas is not available, additional criteria will be required. These include: an acute perinatal event (e.g., late or variable decelerations, cord prolapse, cord rupture, uterine rupture, maternal trauma, hemorrhage, or cardiorespiratory (...) , tecotherm, craft, other duration of cooling in hours number of severe or modere HIE according to the Sarnat classification time to initiate cooling in minutes Fourth secondary objective : Number and percentage of various obstetrical conditions leading to the worse outcomes [ Time Frame: birth ] Number and percentage of : Maternal pyrexia, a persistent occipito-posterior position, an acute intrapartum event (hemorrhage, maternal convulsions, rupture of uterus, snapped cord, and birth of baby before

2015 Clinical Trials

100. Prenatal Vesico-allantoic Cyst Outcome - A Spectrum from Patent Urachus to Bladder Exstrophy. (PubMed)

with bladder prolapse ranging from patent urachus to partial bladder exstrophy.An isolated prenatal ultrasound finding of an hourglass communication between the fetal bladder and a cyst of the umbilical cord should be considered predictive of a spectrum from patent urachus to bladder exstrophy. Given the significant ramications on the developing urinary tract, the prenatal finding of vesico-allantoic cyst warrants referral to a high-risk obstetrical center with urologic consultation.© 2015 John Wiley (...) of the umbilical cord. Gestational age at diagnosis, perinatal evolution, and eventual urinary tract outcome are described and compared with existing literature.Five cases of cystic vesico-allantoic communication were identified on second-trimester screening ultrasound. Serial ultrasounds showed an increase in the size of the umbilical cystic component with gestational age, followed by its eventual rupture prior to delivery. All neonates had urinary leakage through the inferior portion of the umbilicus

2015 Prenatal diagnosis

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