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Umbilical cord prolapse is when the umbilical cord comes out of the uterus with or before the presenting part of the baby. [2] The concern with cord prolapse is that pressure on the cord from the baby will compromise blood flow to the baby. [2] It usually occurs during labor but can occur anytime after the rupture of membranes. [1] [5]
It describes best practices for treating obstetric emergencies including prolapse of the umbilical cord (when the umbilical cord is expelled before the baby), shoulder dystocia (when the baby's shoulder becomes caught on the mother's pubic bone) and postpartum bleeding in the mother, [12] and details how to resuscitate a newborn baby. [3]
Routine amniotomy is not recommended as part of standard labour management and care." [2] Another Cochrane Review could not draw any conclusions about the effectiveness of using amniotomy as a means of induction when comparing amniotomy alone vs. expected management or amniotomy alone vs. oxytocin alone. [3] 2.
On occasion, with the rupture of membranes, particularly if the head is not engaged, the umbilical cord may prolapse. A cord prolapse is an obstetrical emergency, as the descending head may block fetal-placental circulation. Once the membranes are ruptured, bacteria may ascend and could lead to amnionitis and fetal infection.
Intrauterine hypoxia (also known as fetal hypoxia) occurs when the fetus is deprived of an adequate supply of oxygen.It may be due to a variety of reasons such as prolapse or occlusion of the umbilical cord, placental infarction, maternal diabetes (prepregnancy or gestational diabetes) [1] and maternal smoking.
Low levels of amniotic fluid due to mid-trimester or previable PPROM (before 24 weeks) can result in fetal deformity (e.g. Potter-like facies), limb contractures, pulmonary hypoplasia (underdeveloped lungs), [11] infection (especially if the mother is colonized by group B streptococcus or bacterial vaginosis), prolapsed umbilical cord or ...
Umbilical cord prolapse occurs when the umbilical cord comes out of the uterus with or before the presenting part of the fetus. It is a relatively rare condition and occurs in fewer than 1% of pregnancies. Cord prolapse is more common in women who have had rupture of their amniotic sac.
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