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Amnioinfusion is a method in which isotonic fluid is instilled into the uterine cavity.. It was introduced in the 1960s as a means of terminating pregnancy and inducing labor in intrauterine death, but is currently used as a treatment in order to correct fetal heart rate changes caused by umbilical cord compression, indicated by variable decelerations seen on fetal heart rate monitoring.
The EXIT procedure, or ex utero intrapartum treatment procedure, is a specialized surgical delivery procedure used to deliver babies who have airway compression. [1] Causes of airway compression in newborn babies result from a number of rare congenital disorders, including bronchopulmonary sequestration, congenital cystic adenomatoid malformation, mouth or neck tumor such as teratoma, and lung ...
Other interventions during management of cord prolapse are typically used to decrease the chance of complications while preparations for delivery are being made. These interventions are focused on reducing pressure on the cord to prevent fetal complications from cord compression. The following maneuvers are among those used in clinical practice:
Nuchal cord, when the umbilical cord is (tightly) around the neck of the fetus [2] Entanglement of the cord [2] Knot in the cord [2] Cord prolapse, where the umbilical cord exits the birth canal before the baby, which can cause cord compression. [3] As a complication of oligohydramnios in which there is insufficient amniotic fluid
The Fetal Treatment Center at the University of California, San Francisco is a multidisciplinary care center dedicated to the diagnosis, treatment, and long-term follow-up of fetal birth defects. It combines the talents of specialists in pediatric surgery , genetics, obstetrics / perinatology , radiology , nursing , and neonatal medicine.
Fetal therapy, and advanced fetal therapy in particular, is a relatively new field in medicine. Because of the complexity and the significant risks involved with a surgical or medical intervention on a pregnant woman and her fetus, these procedures are usually performed in specialized centers and involve a multidisciplinary team of specialists.
Velamentous cord insertion impacts fetal development during pregnancy by impairing the development of the placenta [2] and modifying the efficiency of placental function. [17] This can manifest in a range of adverse perinatal outcomes, such as fetal growth restriction, [ 4 ] [ 5 ] placental abruption, [ 3 ] [ 6 ] [ 16 ] [ 18 ] abnormal fetal ...
Fetoscopy is an endoscopic procedure during pregnancy to allow surgical access to the fetus, the amniotic cavity, the umbilical cord, and the fetal side of the placenta.A small (3–4 mm) incision is made in the abdomen, and an endoscope is inserted through the abdominal wall and uterus into the amniotic cavity.