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| | TheFetus.net - Umbilical cord prolapse -Val Catanzarite, MD, PhD |
 | | The rate of umbilical cord prolapse is much lower in the vertex presenting fetus than in the fetus with breech presentation or transverse lie; the overall risk in vertex presentation is quoted at 0.2 to 0.4%, in all breech presentations 3.5%, and in transverse lie or footling breech presentation, approximately 10%. | | | Funic presentation is a condition in which the umbilical cord is interposed between the leading part of the fetus and the internal os of the uterine cervix. | | | Definitions: Cord or funic presentation denotes the finding by sonography or clinical examination of the umbilical cord interposed between the leading part of the fetus and the internal cervical os. |
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http://www.thefetus.net/page.php?id=185
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| | Rectal Prolapse |
| | Weakness of the anal sphincter muscle is often associated with rectal prolapse at this stage and may result in leakage of stool or mucus. | | | Success depends on a number of factors, including the status of a patient's anal sphincter muscle before surgery, whether the prolapse is internal or external, the overall condition of the patient and surgical method used. | | | To demonstrate the prolapse, patients may be asked to "strain" as if having a bowel movement or to sit on the commode and "strain" prior to examination. |
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http://www.sjcolondocs.com/questions/Rectal.htm
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| | * Cord Prolapse - (Pregnancy & Parenting): Definition |
| | Cord Prolapse - Term for when the umbilical cord comes through the cervix before the baby. | | | These risks are about the same or less than the risks of placental abruption, fetal distress, or cord prolapse, which can have tragic outcomes and whose possibility does not prevent some people from having home birth s. | | | To help prevent cord prolapse in a footling breech do not encourage the mother to walk or stand in an upright position. |
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http://www.mimihu.com/pregnancy/cord_prolapse.html
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| | The Pregnancy Institute - PUCP |
| | Edema of the cord and respiratory distress in the newborn. | | | Clinical observation of the relationship between puerant posture and occult prolapse of the cord. | | | Umbilical cord compression has varying effects on fetal physiology depending on the degree of the stimulus and a duration of the interruption of blood flow. |
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http://www.preginst.com/pucp.html
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| | Medical References: Umbilical Cord Abnormalities |
| | The umbilical cord is a narrow, tube-like structure that connects the developing baby (also referred to, in medical terms, as the fetus) to the placenta. | | | The risk of umbilical cord prolapse is increased if the baby is in a breech (foot-first) position or if the baby is premature. | | | Here are some of the most frequent cord problems and how they can affect mother and baby. |
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http://www.modimes.org/professionals/681_4546.asp
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| | Women's Health Advisor 2004.2: Prolapsed Umbilical Cord |
| | Another term for this condition is cord prolapse. | | | A prolapsed cord occurs when the baby's umbilical cord falls into the birth canal ahead of the baby's head or other parts of the baby's body. | | | To further help take the pressure off the cord, the nurse or doctor will keep a hand in the mother's vagina until the baby is delivered the fastest way possible, usually by emergency cesarean section. |
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http://www.med.umich.edu/1libr/wha/wha_proco_crs.htm
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| | Prolapsed Cord - Patient UK |
| | Incidence of occult prolapse unknown but 50% of monitored labours show fetal heart rate changes suggesting umbilical cord compression, which is usually transitory and relieved by changing mother's position. | | | Prolapsed Cord - Patient UK PatientPlus articles are written for doctors and so the language can be technical. | | | Overt - if fetus viable, place mother in lateral knee-chest position and apply upward pressure against presenting part to lift fetus away from prolapsed cord whilst waiting for caesarean section as soon as possible. |
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http://www.patient.co.uk/showdoc/40000243
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| | "But What If.....?" |
| | Cord presentation occurs when the umbilical cord presents in front of the baby's presenting part (usually its head, unless it is breech). | | | Perhaps the cord is around its neck - this happens in about a third of all births and does not usually cause a major problem, but in some cases the baby does get severely deprived of oxygen. | | | Sometimes a midwife or doctor can push the cord up and out of the way, holding the baby's head up while they do it. |
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http://www.homebirth.org.uk/whatif.htm
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| | ANB & T et al vs Cook County - obstetrical malpractice, umbilical cord prolapse |
| | This is because the function of the umbilical cord delivering oxygen to the fetus is likely to be compromised during cord prolapse so that blood and oxygen are cut off. | | | E basically claimed that Cook County Hospital employees failed to properly address her baby son's transverse lie (the baby lying perpendicular or across the body preventing vaginal delivery) which resulted in umbilical cord prolapse causing a lack of oxygen to him and subsequent brain damage and cerebral palsy. | | | It is recognized in this field that there is a very strong causal association between cord prolapse and perinatal asphyxia and brain damage. |
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http://www.malpracticeweb.com/cch_anb_es.htm
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| | Frquently Asked Questions |
| | A velamentous cord may have a more delicate origin and be at risk of torsion and obstruction. | | | There is little educational opportunity for the obstetrical provider to study umbilical cord accidents. | | | There definitely needs to be more education about ultrasound of the placenta and umbilical cord. |
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http://www.vasaprevia.com/faqs/faqs.htm
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| | The Pregnancy Institute - The Human Umbilical Cord - Page 3 - Discussion |
| | Aas the problem of umbilical cord complication is studied it may become possible to identify the fetus as risk and to manage the fetus successfully to avoid injury or stillbirth. | | | There are several consequences that can occur in fetuses with umbilical cord complications antenatally which resolve and in fetuses experiencing labour with umbilical cord complications. | | | It is all the more remarkable, therefore, that little work has been published to demonstrate the incidence of the condition, and to analyse its effects during labour and delivery'. |
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http://www.preginst.com/tpbook/ch26/page3.html
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| | Rupture of Membranes Causes Cord Prolapse |
| | Once the cord is below the head, you can apply gentle pressure to move the baby into the pelvis and keep it there to prevent the cord from sinking again past the head when the mom gets upright. | | | She said, "I feel something--I think its the cord", and it made it difficult for her to get the catheter in. | | | If you could feel the cord below the head and you needed to break the waters, there are things you could do to try to move the cord. |
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http://www.gentlebirth.org/archives/cordprol.html
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| | allnurses.com Nursing for Nurses - Cord Prolapse |
| | Your priority is to relieve pressure on the cord and re-establish blood flow to the fetus. | | | 01-19-2004, 05:02 PM If the cord is trapped inside the vagina, I believe you would insert a sterile gloved hand to put counter-pressure against the fetal presenting part, in an effort to "lift" it off the cord, again relieving pressure on the cord and re-establishing blood flow to the baby. | | | Obviously, once in the OR, knee chest would no longer be appropriate either, and Trendelenburg would be the position used while prepping the patient (very quickly) for a section. |
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http://allnurses.com/forums/archive/index.php/t-54816
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| | LifeFlight |
| | Upon confirming prolapse of the umbilical cord, immediately place the patient in a knee-chest or left lateral recumbent/Trendelenburg position. | | | Manually reduce pressure on the cord by inserting gloved fingers into the vagina and applying gentle upward pressure against the presenting part. | | | PURPOSE: To outline nursing management of the intrapartum patient who presents with prolapse of the umbilical cord. |
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http://www.mc.vanderbilt.edu/lifeflight/web/protocol/7e.htm
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| | Caesarean section |
| | the umbilical cord falls forwards and the baby cannot be delivered easily (a condition known as cord prolapse). |
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http://www.netdoctor.co.uk/health_advice/facts/caesarian.htm
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| | BBC - Health - Ask the doctor - Prolapsed umbilical cord |
| | There are a few situations known to be associated with an increased risk of umbilical cord prolapse. | | | These include twin deliveries, some breech deliveries, and when the baby's shoulder is the part of its body moving first into the birth canal. | | | If the baby can be delivered before its blood supply is damaged, then there may be no long-term consequences. |
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http://www.bbc.co.uk/health/ask_the_doctor/prolapsedumbilicalcord.shtml
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| | OB/GYN News: Most cord prolapses in term, vertex pregnancies - Study of 52 Cases |
| | The incidence of umbilical cord prolapse in the series was similar to that reported in the literature, about 3 in 1,000 deliveries. | | | "We chose to evaluate the incidence, risk factors, and outcomes of umbilical cord prolapse because anecdotally, in our experience, the traditional risk factors did not account for the majority of the patients we were seeing," Dr. Boyle explained during a presentation at the annual meeting of the Pacific Coast Obstetrical and Gynecological Society. | | | Traditionally umbilical cord prolapse has been associated with preterm labor, nonvertex presentations, and multiple gestations. |
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http://www.findarticles.com/p/articles/mi_m0CYD/is_24_37/ai_95792123
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| | Manhattan Women's Laser Center |
| | Laparoscopic Surgery for Pelvic Organ Prolapse (Uterine-vaginal prolapse, Enterocele, Cystocele, Rectocele) | | | Liu's practice is limited to Laser Gynecological Endoscopic (Laparoscopic and Hysteroscopic) Surgery. | | | As a world-renowned leader in advanced gynecological endoscopic surgery, Dr. Liu has lectured and taught while performing numerous live surgeries worldwide. |
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http://www.gyndr.com
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| | Neonatal outcome after cord prolapse at term |
| | The Study Patients: Retrospective study of consecutive babies born to 132 patients (1984-1992) with cord prolapse diagnosed by palpation of umbilical cord below or beside the preseting part on vaginal examination after rupture of membranes. | | | Three-part Clinical Question: What is the outcome of babies born after cord prolpase at term? | | | The mortality and morbidity associated with umbilical cord prolapse. |
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http://www.bwhct.nhs.uk/bwm09001.htm
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| | PROLAPSED CORD |
| | Reevaluate pulsation of the cord, rate and fetal heart tones. | | | Transport rapidly to appropriate medical facility maintaining pressure on presenting part. | | | DO NOT attempt to replace cord within the uterus. |
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http://ckems.org/protocol2/prolapsed_cord.html
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| | MotheringDotCommune Forums - Self-diagnosing Cord Prolapse |
| | There's such a thing as a hidden prolapse, though, where the cord is between the head and the pelvis. | | | I assume that you could stick your fingers up there (sorry if TMI, but heym this is the UC forum.:)) and could feel the cord coming down through the cervix. | | | Some moms can feel the cord in the vagina, but it doesn't have to be that low to cause a problem. |
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http://www.mothering.com/discussions/printthread.php?t=240408
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| | placental cord prolapse - General Practice Notebook |
| | Pressure of the presenting part on the cord may restrict umbilical cord blood flow resulting in acute foetal hypoxia and foetal distress. | | | This is an obstetric emergency where the cord passes through the os in front of the presenting part of the baby. |
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http://www.gpnotebook.co.uk/static/-1389035491.htm
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| | CCASH - Division of Obstetrics 032dmm.html |
| | Continue to monitor the Fetal Heart Rate and/or cord pulsation. | | | Notify the Obstetric Surgeon of any adverse change in rate. | | | Palpation of a cord or cord pulsations on vaginal examination. |
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http://www.clininfo.health.nsw.gov.au/hospolic/infoccah/032dmmz4.html
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| | Cord prolapse - Wikipedia, the free encyclopedia |
| | It is useless to try to push the cord back. | | | It is when the umbilical cord presents itself outside of the uterus while the fetus is still inside. | | | Cord prolapse is an obstetric emergency during pregnancy or labour that acutely endangers the life of the baby. |
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http://en.wikipedia.org/wiki/Cord_prolapse
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| | Thoracic disc prolapse by Globalspine.net |
| | The goals of these approaches being visualization of the herniated disc without retraction of the already deformed cord as it cannot tolerate any additional deformation. | | | The common symptoms are axial pain (77%) radicular pain (64%), signs of cord symptoms (59%) and sensory loss (36%); myelopathy are more with central herniation. | | | Radiological evidence of cord and / or root compression with corresponding clinical features mandates early surgical decompression. |
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http://www.globalspine.net/thoracic_disc_prolapse.html
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| | Clinical Practice Guidelines : Cord Prolapse |
| | The presenting part is pushed out of the pelvis upward by fingers in the vagina to relieve pressure on the cord by the presenting part. | | | Diagnosis of cord prolapse is made by visual inspection or palpation on vaginal examination where the umbilical cord is felt below or beside the presenting part. | | | Identify risk factors or identify a cord presentation on ultrasound. |
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http://www.rwh.org.au/rwhcpg/maternity.cfm?doc_id=5653
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| | Umbilical Cord Prolapse |
| | Pre-hospital cord prolapse noted at home by patient | | | Umbilical cord visualized in vagina or at vulva | | | This is one page of 38 in this chapter, 178 in this book, and 4583 in the Family Practice Notebook. |
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http://www.fpnotebook.com/OB110.htm
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| | Umbilical Cord |
| | This brief review looks at cord prolapse and covers risk factors and management of this condition. | | | The leaflet explains the structure and function of the umbilical cord, and discusses some of the most common umbilical cord abnormalities, including single umbilical artery; umbilical cord prolapse; vasa previa; nuchal loops; umbilical cord knots; and other umbilical cord abnormalities. |
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http://omni.ac.uk/browse/mesh/D014470.html
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| | THE MERCK MANUAL, Sec. 18, Ch. 253, Abnormalities And Complications Of Labor And Delivery |
| | Changing the patient's position or elevating the fetus relieves pressure on the cord. | | | Occult prolapse occurs with intact membranes when the cord is expelled before the presenting part or is trapped in front of a shoulder. | | | Overt prolapse occurs with ruptured membranes when the cord is in front of the presenting part. |
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http://www.merck.com/mrkshared/mmanual/section18/chapter253/253d.jsp
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| | Two pregnant women presenting with umbilical cord prolapse |
| | The clinical presentations of two cases with umbilical cord prolapse presenting to our AandE department within two weeks were described. | | | Cord prolapse is an obstetric emergency as delay in management is associated with significantly increased neonatal morbidity and mortality. | | | If the accident occurred outside the hospital, many babies would be dead or severely asphyxiated upon arrival in the hospital. |
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http://www.fmshk.com.hk/journal/hkjem/v10n01-007.htm
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| | Prolapse of Umbilical Cord - Medical Illustration |
| | Abnormal Umbilical Cord - Nuchal Cord - exh4859a | | | Nucleus Medical Art creates and/or licenses medical products including medical illustrations, medical animations, medical drawings, medical pictures, medical graphics, medical posters, anatomical models, and interactive presentations for use in publishing, pharmaceutical and medical device marketing, patient education, patient informed consent programs, hospital safety awareness, sales training, merchandising, and other uses. | | | Premature Rupture of Fetal Membranes with Prolapse of Umbilical Cord - exh40736 |
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http://catalog.nucleusinc.com/generateexhibit.php?ID=9393
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| | PREGNANCY-BIRTH Messages for October, 2001: polyhydramnios, cord prolapse, and ventriculomegaly |
| | Reply: Richard Chudacoff, MD: "Re: polyhydramnios, cord prolapse, and ventriculomegaly" | | | Even though the fluid is within normal limits, I still worry that if my water breaks on its own, the umbilical cord will prolapse from the gush. | | | Next in thread: anonymous@obgyn.net: "Re: polyhydramnios, cord prolapse, and ventriculomegaly" |
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http://forums.obgyn.net/pregnancy-birth/P-B.0110/2170.html
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| | J.H. et al vs Christ Hospital Carmencita Galvez - obstetrical malpractice / hypoxic brain damage |
| | He also has speech therapy because he is difficult to understand and drools constantly. | | | The plaintiff's claim, and their expert also testified, that there was no medical reason to do so and that she was at risk for an umbilical cord prolapse if her bag of waters ruptured. | | | A cord prolapse is when it protrudes next to or ahead of the presenting part of the fetus - in this case his head. |
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http://www.malpracticeweb.com/christ_hi.htm
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| | Umbilical Cord Prolapse |
| | Severe recurrent variable decelerations or bradycardia occurs and does not respond to oxygen, IV fluids or change in maternal position. | | | The protrusion of the umbilical cord alongside or ahead of the presenting part of the fetus. |
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http://faculty.mc3.edu/Minterr/ppts/high_risk_ob_2/sld002.htm
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| | C-section |
| | Umbilical cord prolapse (the umbilical cord comes through the cervix) | | | The baby is handed to the pediatrician or nurse who will make sure that breathing is normal. | | | The baby's mouth and nose are cleared of fluids, and the umbilical cord is clamped and cut. |
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http://www.shands.org/health/information/002911.htm
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