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Umbilical Cord Prolapse
Published in Sanjeewa Padumadasa, Malik Goonewardene, Obstetric Emergencies, 2021
Sanjeewa Padumadasa, Prasantha Wijesinghe
Umbilical cord prolapse is an obstetric emergency, and prompt action is required to save the life of the fetus. Examining for cord pulsations is a practical and quick method of ascertaining fetal viability, but this may give rise to false positives and false negatives, and therefore, is not a reliable indicator of fetal viability. The pulsations in the clinician’s own fingers may be confused with those of the fetus, while fetal heart activity may still be present even in the absence of umbilical artery pulsations or non-detection of a fetal heartbeat by a hand-held Doppler Fetal Heart Detector. Accordingly, fetal viability should be ideally confirmed by visualising the heartbeat by abdominal ultrasound examination. Cardiotocography is time-consuming and unnecessary. If the fetus is confirmed dead or has a lethal abnormality, then vaginal delivery should be anticipated or labour should be induced.
Obstetric emergencies
Published in Louise C Kenny, Jenny E Myers, Obstetrics, 2017
Umbilical cord prolapse may be defined as the descent of the umbilical cord through the cervix alongside or past the presenting part in the presence of ruptured membranes (Figure 14.7). It is estimated to occur in 0.1–0.6% of pregnancies with the perinatal mortality rate estimated at 91 per 1,000.
Perinatal risk factors and Apgar score ≤ 3 in first minute of life in a referral tertiary obstetric and neonatal hospital
Published in Journal of Obstetrics and Gynaecology, 2020
Maria Cândida Ferrarez Bouzada, Zilma Silveira Nogueira Reis, Natália Fernanda Ferreira Brum, Márcia Gomes Penido Machado, Maria Albertina Santiago Rego, Leni Márcia Anchieta, Roberta Maia de Castro Romanelli
In relation to umbilical cord prolapse, this study pointed out that it is a risk factor for an Apgar score ≤3 in the first minute of life in a univariate analysis. Likewise, the retrospective study by Huang et al. (2012) presented a sample of 40,827 deliveries between 1998 and 2007 with 40 cases of umbilical cord prolapse. A total of 18 (45%) newborns recorded an Apgar score below 7 in the first minute of life and thus required resuscitations, of which 10 maintained an Apgar score below 7 in the fifth minute of life. Umbilical cord prolapse is an obstetric emergency, as it can cause compression of the umbilical cord, compromising the blood supply to the foetus (Goebel et al. 2010).
Comparison of maternal and perinatal morbidity between elective and emergency caesarean section in singleton-term breech presentation
Published in Journal of Obstetrics and Gynaecology, 2020
Sanitra Anuwutnavin, Benjamas Kitnithee, Pharuhas Chanprapaph, Suanya Heamar, Pimnara Rongdech
It was not surprising that adverse pregnancy outcomes were likely to be related to the indications for emergency caesarean section. Critical situations, such as umbilical cord prolapse, more frequency with breech foetuses compared with cephalic presentation, would naturally affect the incidence of complications. Similar results were also observed by others (Bergholt et al. 2003; Yang and Sun 2017).
Umbilical Cord Prolapse in the Prehospital Setting: A Case Report
Published in Prehospital Emergency Care, 2022
M. Chatelet, L. Lemoine, P. Balouet, F. Eudier, A. Saleh, T. Delomas, F. Amiot
Umbilical cord prolapse is an obstetric emergency that can be challenging in the prehospital setting. With quick and appropriate management, fetal/neonatal outcomes can be improved. Simulation training of UCP management and maneuvers for emergency clinicians could mean the difference between life and death for this rarely occurring condition (9).