Doctor insights on:
Umbilical Cord Prolapse In Children
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
Dramatic drop in FHR: Umbilical cord prolapse occurs suddenly in many cases. There is typically a sudden drop in the fetal heart rate, and someone examining the patient from below can feel a pulsating cord. This is an OB emergency. ...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
PictureWorth1000Wrds: Belly button pain is usually due to a hernia or an infection at the umbilicus. Is the pinch worse w/exercise or exertion? Can you see or feel a little lump at or next to the belly button? Does it look more like an "out-y"? Is there any renders or drainage? Best bet-make an appointment to see a primary care doctor for definitive diagnosis. Good luck! ...Read more
Is it possible for an adult to have remnants of umbilical cord? And if so, how can it be removed?
Yes: The "final" part of the delivery is a very special event for both partners...In almost all cases of a routine delivery, every physician at my hospital allows -- even pushes for -- the partner to cut the umbilical cord. The only exception, unfortunately, is a c-section, which, of course, is a real surgery. Adding extra people (like partners) into the mix increases the risk of infection. ...Read more
Clamp it first...: ...To prevent the baby bleeding out.Get a more detailed answer ›
35 cm: The mean of term umbilical cord length is 50 to 60 cm. A short cord at term is less than 35 cm. ...Read more
Some people do: Once the cord stump dries up and falls off, it's harmless and some people do keep it for a memento. What to keep in a baby box or album is a very personal decision, and also varies with culture. But dried cord stump poses no risk of carrying infections or anything bad. Also, the dried cord stump has no potential future medical use (banking cord blood is totally different process). ...Read more
Blood cell disorders: It is the blood obtained from the cord, not the cord itself, that is being used to treat disease. Early, primitive cells, called stem cells, are used to treat many disorders of the blood, including aplastic and other anemias, leukemias, certain immunologic diseases, and even some metabolic disorders. Ongoing research includes non-blood diseases, such as stroke, diabetes, and even heart attacks. ...Read more
I feel pains im ma umbilical cord and a little swollen at de side of it, please what is de cause?
Comfort: With advances in technology your newborns cord blood can be stored as a hedge against future needs. Stem cells from the cord blood could be used in the future as part of a treatment for such devistating illnesses as leukemia.Future research may allow us to use them to help build spare parts. Some parents do for personal use. Some hospitals collect them for a stem cell bank that might help others. ...Read more
They have two characteristic :
1-self renewal. (another stem cell)
2-self differentiation (2 different cells). ...Read more
Usually benign event: Around 12 wks the fetus has relatively more fluid space/size & may flip & tangle in the cord. I have had a child with 5 wraps about the neck who grew up & graduated a couple years ago (cord lengthened to 9 ft before birth). There is no way to prevent it. There is no guarantee that a baby doesn't trap the cord under their shoulder or leg and pinch it for a time. ...Read more
Unlikely situation: Only a newborn has an umbilical cord and there is no way you would not know if the nb is having pain from the cord. Noise in the stomach is likely gas. ...Read more
Less used that fat: Use of adult mesenchymal stem-stromal cells (mscs) are currently in clinical trial in us/internationally. Trend is toward use of fat derived mscs, havested by liposuction, isolated and concentrated in tissue culture. Early reports suggest significant improvement in neurological, autoimmune and organ functions. Many more mscs in fat than bone marrow making ad-msc the center of most research now. ...Read more
Not risky: Umbilical cord blood transfusion is used in children as infusion and also has alternative use in different diseases as malignancies and immune deficiency diseases as stem cell transplantation. No risk to patient, immediately available, has low infection rate and it is successful procedure. It can be done to related or unrelated persons. ...Read more
Belly button: The belly button represents the remnant of the blood vessels that attached the fetus to the mother as its source of nourishment. ...Read more
Varies with location: These are collected at my local hospitals & stored in a cold facility for an extended period by the lab. The OB occasionally requests a pathologist examine the cord & or placenta for signs of breakdown or infection. If no issues have surfaced during the storage period they are destroyed. ...Read more
Odd question: The only blood in the umbilical cord is the babies. The babies blood comes to and passes close by the maternal circulation contained in the wall of the uterus. The nutrients of mothers blood pass through by diffusion to enter babies blood, and babies waste products are drawn off by mothers blood. There are occasional microscopic amounts of fetal cells that pass into mothers circulation & vise versa ...Read more
I don't look there: They would likely screen your urine as a preliminary act if they suspect you are using. However, we check the poop of the infant when it is going to be important. Babies start making and retaining poop by about 12 weeks into pregnancy and it will retain trace amounts of any drug baby is exposed to during the last several months of pregnancy. ...Read more