Doctor insights on:
Doctor Clamp Cut Cord Delivery
After the umbilical stump falls off, is the belly button opening supposed to close up? My 3 week old's fused shut. Should it be reopened?
Sounds pretty normal: Most cord stumps will separate by a week or so ant the site will seal over by a month.Your description sounds normal.If concerned, cal your docs office and see what they recommend. ...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
Any experience with natural cesarean. Cord is cut and then baby placed on moms chest keeping sterile field intact.
Routine nowadays.: This is the most mother-friendly process to be used during cesarean delivery. Immediate skin to skin contact with the newborn stimulates maternal oxytocin release and helps with decreasing blood loss. It also provides priceless opportunity for emotional bonding and is highly recommended. We use it routinely at my hospital for the past several years. ...Read more
1 weeks: The umbilical cord usually falls off in the first 7-10 days. May take up to two weeks. If you were told to clean with alcohol, then do so once a day. Cleaning every diaper change with alcohol keeps it too clean and delays falling off.Once it falls off it will stink for a week or so. Then you can clean every change with alcohol. ...Read moreSee 1 more doctor answer
Occasional care: I look at this area as if it were a healing scratch. Once the cord stump has been shed, it may or may not need any care.Keep the area dry, sometimes using alcohol as a drying agent, and washing as you would any other scratch will promote healing. If it oozes or drains after a week or more I would call the office. ...Read moreSee 1 more doctor answer
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
Perhaps: There are different views on cord milking during delivery. Cord milking, or pushing the blood in the umbilical cord back into the baby before cutting the cord, increases the baby's blood supply and lowers risk of anemia. Cord milking also increases risk of jaundice. ...Read moreSee 1 more doctor answer
Depends: Spinal cord injury is very complex and the ability to "fix" the problem depends on many things including how badly the nerves have been injured, the age of the patient, the mechanism of injury, etc. Unfortunately, the overall healing potential of the spinal cord is quite poor and many injuries result in permanent problems. ...Read moreSee 1 more doctor answer
Had 20 week ultrasound. Midwife reported umbilical cord attached to the membrane of placenta. Is this serious?
What kind of incision for delivery of singleton in transverse lie with anterior placenta previa? Will low transverse cut risk hemorrhage/uterine tear?
Hyst'omy MANDATED: hello Annie-_777 I am not an OB GYN but I have had a lot of experience which tells me that a lower abdominal incision (Pfannen-Stiel) is a better incision in almost all situations. This situation of a transverse lie and an anterior placenta praevia is a very hazardous situation because you need the baby out and the cord clamped within seconds of opening the uterus so choose a very skilled surgeon. ...Read more
Why after hemorrhage and unplanned c hyst would attending let resident close incision with suture?
They are learning: Residents are learning their craft from the attending physician. Your attending is involved in every part of the operation, even if the resident is doing the sewing. ...Read more
My syrinx is almost wall to wall in my spinal cord. If they drain the syrinx will the spinal cord rejuvenate itself?
HARD TO PREDICT: If your syrinx is creating a compressive effect within spinal cord, risk of future deterioration is very real indeed, and would try to get this under control before more neurological disability ensues. Although you may not necessarily reverse all the pre-existing issues, the likelihood of prevention and cessation of the damage is very good if surgery is performed. Please discuss fully with doc. ...Read more
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