Doctor insights on:
Best Umbilical Cord Prolapse Treatment
Emergent care: If possible, the effect of the prolapse is reduced, which can require a hand be pushed up the birth canal to prevent the head from pressing against the placenta. I have known this to happen inside an ambulance heading to the hospital. An emergency C-section delivers the baby from above. Failure to keep the head off the placenta stops blood flow and suffocates baby. ...Read more
In umbilical cord prolapse, the cord slips ahead of the presenting part of the fetus and protrudes into the cervical canal or vagina, or beyond. It constitutes an obstetrical emergency because the prolapsed cord is vulnerable to compression, umbilical vein occlusion, and umbilical artery vasospasm, which can compromise fetal ...Read more
Umbilical prolapse: In umbilical cord prolapse, the cord slips ahead of the presenting part of the fetus and protrudes into the cervical canal or vagina, or beyond. It constitutes an obstetrical emergency because the prolapsed cord is vulnerable to compression, umbilical vein occlusion, and umbilical artery vasospasm, which can compromise fetal oxygenation prior to birth. ...Read more
C- section delivery: When recognized, one member of the staff will be positioned beneath the patient with a hand pushing up on the head of the baby to keep it from compressing the cord. The rest of the team readies the patient for an emergency c-section. ...Read more
Umbilical cord prolapse caused a 30 second lack of oxygen to the baby during delivery. Will the baby be okay?
Only 30 ???: I am reluctant to accept the initial statement as realistic. Once a cord begins to prolapse it can produce an intermittent but complete obstruction to blood flow that may add up to a significant o2 deficit over time.I'm not sure anyone can estimate the insult accurately.If only 30, probably no long term effect. If low 1/5/10 min apgars and seizures in the 1st 24hr,it was longer and more problemat ...Read more
Pregnancy ended at 5 mths w/preterm delivery. Pprom & cord prolapse a cause. Testing ovulation via strips for 5 mths, but no "smiley". This normal?
28wks pregnant. Found out at ob appt today baby is footling breech.Ob wants to monitor cervix fortnightly.Is this dangerous?Scared of cord prolapse?
OK to monitor: Though I wouldn't be so concerned about your cervix unless it were open or if there were concern about preterm labor, it is reasonable to regularly see your obstetrician for prenatal care. Ultrasounds to evaluate your baby's position and switch from breech to cephalic are important and just b/c it's breech now doesn't mean it'll be breech later. See your doctor ASAP if you have pain/discharge. ...Read more
Patient specific: The best surgical treatment is one that is tailored to your specific findings and complaints. One surgery does not fit all patients. There is controversy about newer mesh surgery versus older methods. There is more and more robotic prolapse surgery. The best surgery is one done to your specific needs by a surgeon who does these surgeries often and has experience. ...Read moreSee 1 more doctor answer
Rectal prolapse: If mild - it can be gently reduced and pushed back in - use a moist washcloth. Stool softeners may help prevent reoccurence. If it continues to prolapse - generally surgery is required to remove the redundant tissue and "tack" the rectum up. Colon and rectal surgeons are probably the best at this type of problem. ...Read moreSee 1 more doctor answer
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