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Sometimes women will be placed in a knee-chest position or the Trendelenburg position in order to help prevent further cord compression. [2] With appropriate management, the majority of cases have good outcomes. [4] Umbilical cord prolapse occurs in about 1 in 500 pregnancies. [2] The risk of death of the baby is about 10%. [2]
The knee-chest position [1]. The knee-chest position or genupectoral position is a position used in a number of medical situations including gynecological examination and surgery, lumbar spine surgery, [2] [3] [4] repair of vesico-vaginal fistula (VVF) by Sims's saucerisation procedure, labor and delivery for which it is recommended in those with a cord prolapse until delivery can occur, [1 ...
The Trendelenburg position may be used for drainage images during endoscopic retrograde cholangiopancreatography. [10] The Trendelenburg position is reasonable in those with a cord prolapse who are unable to achieve a knee-to-chest position. [11] It is a temporary measure until a cesarean section can be performed. [11]
They are referred to as upright birth positions. [3] Understanding the physical effects of each birthing position on the mother and baby is important. However, the psychological effects are crucial as well. Knowledge about birthing positions can help mothers choose the option they are most comfortable with.
Before more sophisticated techniques became available, chest X-ray was the definitive method of diagnosis. The abnormal "coeur-en-sabot" (boot-like) appearance of a heart with tetralogy of Fallot is classically visible via chest X-ray, although most infants with tetralogy may not show this finding. [49]
When in lying position, the body may assume a great variety of shapes and positions. The following are the basic recognized positions: Supine position: lying on the back with the face up; Prone position: lying on the chest with the face down ("lying down" or "going prone") Lying on either side, with the body straight or bent/curled forward or ...
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Knee-chest position Similar to the jackknife except the legs are bent at the knee at a 90-degree angle. Lateral position Also called the side-lying position, it is like the jackknife except the patient is on his or her side. Other similar positions are Lateral chest and Lateral kidney. Lloyd-Davies position