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Doctor insights on: Umbilical Cord Prolapse Management

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Bowel management for spinal cord injury?

Bowel management for spinal cord injury?

What type of injury?: Upper motor neuron, or lower motor neuron injury will start to guide the management. Then there are too many variables that will need to be considered. A sci bowel routine is best developed with a specialist in the field. See an sci doc or nurse they can help. If unable consider this, the paralyzed veterans of america have developed a consumers guide to sci bowel care. Download for free at pva web. ...Read more

Dr. Scott Keith
6 doctors shared insights

Umbilical Cord Prolapse (Definition)

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


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Is spinal cord stenosis treatable?

Is spinal cord stenosis treatable?

Yes: Treatable yes....Curable possibly. See a spine orthopedist. ...Read more

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What can be done for umbilical cord prolapse?

What can be done for umbilical cord prolapse?

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

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How do doctors treat umbilical cord prolapse?

How do doctors treat umbilical cord prolapse?

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

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Does umbilical hernia repair require hospitalisation?

Does umbilical hernia repair require hospitalisation?

No: Usually an outpatient surgery at a hospital or surgery center. Can go home after recovered from the anesthetic. Unless the surgery is being performed for some uncommon emergency. ...Read more

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Can you repair t5 spinal cord injury?

Can you repair t5 spinal cord injury?

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 more

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Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery?

Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery?

C4/5 surgery risks: Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery? ANS: Only you and your team in LA can properly assess risks and benefits of surgery vs watchful waiting in you. You may want to get second opinion as well. Sounds serious to me though. So work with them now. ...Read more

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Single umbilical cord artery in pregnancy?

Single umbilical cord artery in pregnancy?

Uncommon finding: This is found in 1/2 to 1 % of newborns & 2/3 have no additional issues of any importance. In some additional anomalies are found & should be obvious to the examining physicians. Some anomalies require special studies for detection like those of the kidneys. ...Read more

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Degenerative disc disease with bilateral neural foraminal narrowing with spinal canal narrowing and spinal cord impingement at L2-L3(9mm) with neurofibroma-will these conditions be treated without any surgry?

Degenerative disc disease with bilateral neural foraminal narrowing with spinal canal narrowing and spinal cord impingement at L2-L3(9mm) with neurofibroma-will these conditions be treated without any surgry?

Tricky: first, if there are signs of nerve damage (strength, sensation, changes in control of bowel or bladder) then surgery is indicated. Then.... 1-10% of the population has lumbar disk disease and surgery is not generally done and doesn't have that good of an effect when it is. Neurofibroma in spine complicates things. A Lot. It's a growing benign tumor and surgery might spread it. Radiation therapy. ...Read more

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What specialists deal with spinal cord disease?

What specialists deal with spinal cord disease?

See below: Neurologists manage nonsurgical spinal cord problems such as MS , stroke, transverse myelitis. Neurosurgeons manage surgical problems such as tumors, trauma, disc herniations. ...Read more

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Does tugging on umbilical cord cause herniated belly buttons?

Does tugging on umbilical cord cause herniated belly buttons?

"Innies" vs "Outies": I am not aware of data showing a relationship. If that were the case, we would probably see many more "outies" or umbilical hernias in children delivered in teaching hospitals :/. ...Read more

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Is a straight umbilical cord dangerous?

Is a straight umbilical cord dangerous?

Straight cord: It may be dangerous because of poor blood supply to the placenta abd fetus. ...Read more

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Will this require surgery?Central disc protrusion at t7-8 causes effacement of anterior thecal sac. Mild pressure on ventral aspect of thoracic cord.

Will this require surgery?Central disc protrusion at t7-8 causes effacement of anterior thecal sac. Mild pressure on ventral aspect of thoracic cord.

Depends on symptoms: Disc surgery doesn't always provide relief. Xrays of mris of the spine may look terrible, but if you have no major symptoms, surgery is not indicated. If your symptoms are bothersome, but modest in degree, then physican therapy or an exercise program will help and a physiatrist can direct this. ...Read more

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What cause an umbilical cord painful?

What cause an umbilical cord painful?

Confusing question: I have never had an infant show me convincing evidence of umbilical cord pain.(and they can not tell me) in fact, there are no nerve endings in an umbilical cord so it cannot send pain messages. Perhaps you are thinking about another body part. ...Read more

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Is sciatica a spinal cord injury?

Is sciatica a spinal cord injury?

No: Sciatica is a pain symptom of a pinched nerve in the spine. Spinal cord injury is an actual/potential damage to the spinal cord resulting in a sensory or motor deficit. The two are very different. Speak with your doctor if you are concerned about either. ...Read more

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C5-C6 disc herniation with pressure on left cord and thecal sac. Best treatment without surgery?

C5-C6 disc herniation with pressure on left cord and thecal sac. Best treatment without surgery?

Depends on pain: level of pain, if severe will have to have surgery , espec. if radiates down arm , but you are young and time can heal some of this , if you smoke you will not heal well and get cancer so if so , stop now. take over the counter pain meds like aleve, tylenol , for nerve pain gabapentin. try accupuncture ,heat and or ice pack , try biofreeze. use good body mechanics, don't twist neck fast or jerk. ...Read more

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Can a cyctocele and rectocele be repaired surgically under an epidural or spinal anesthetic?

Can a cyctocele and rectocele be repaired surgically under an epidural or spinal anesthetic?

Yes.: A cystocele and a rectocele can be repaired using a vaginal approach under spinal or epidural anesthesia. If your surgeon feels that a laparoscopic procedure would be best for your problem then you would require general anesthesia. ...Read more

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Can a disc bulge w/ spinal stenosis cause erectile dysfunction?

Can a disc bulge w/ spinal stenosis cause erectile dysfunction?

Yes: Though there are many causes of ed and many, if not most, pts with ed have a combination of physical and/or psychological factors as the basis for ed, there is no question that lumbar disc disease or lumbar spinal stenosis can not only cause or contribute to erection problems but can also affect normal bowel and bladder function as well depending on the location and severity of nerve involvement. ...Read more

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What is tethered spinal cord syndrome?

Stretched spine: Tethered cord syndrome is where the spinal cord is stretched because it failed to grow along with the rest of the spine. The cord is attached to the sacrum but as we grow as a child this attachment lengthens along with our body growing taller. When this does not happen, the cord stretches and this causes pain, weakness, and bowel/bladder problems. If very symptomatic, it requires surgery. ...Read more

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What can be done for umbilical cord prolapse?

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

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What are the symptoms of umbilical cord prolapse?

What are the symptoms of umbilical cord prolapse?

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

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What is the definition or description of: Umbilical cord prolapse?

What is the definition or description of: Umbilical cord prolapse?

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

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How do doctors treat umbilical cord prolapse?

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

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Umbilical cord prolapse caused a 30 second lack of oxygen to the baby during delivery. Will the baby be okay?

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

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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?

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

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How do I clean my baby's umbilical cord?

How do I clean my baby's umbilical cord?

Depends: Some institutions use triple dye (purple) on the cord in an effort to avoid germs. This leatherizes the stump and makes separation take longer. Occasional cleaning may be needed to remove grime and thin soapy water or alcohol are fine. If the cord is allowed to air dry, occasional alcohol wipedowns accelerate drying. Bleeding at the base is common as the stump separates.Treat like you would a cut. ...Read more

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What so special about a thick umbilical cord?

What so special about a thick umbilical cord?

Nothing I know about: I would be concerned if the cord was too thin-then this may be associated with decreased blood flow/nutrition during the pregnancy. If the infant is normal and has no swelling (edema), then i would not be worried about a thick umbilical cord. ...Read more

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Could an umbilical cord snap during the first month?

Could an umbilical cord snap during the first month?

Not much of a cord: During the first month there is a lot going on in development but there is not much of a cord as you may visualize it. A lot of the embryonic work goes on in a mass of tissue attached to a thick stalk. At about 30 days a crude cord is forming. The fetal cord has the ability to grow longer under tension. I've seen one 9 feet long compared to the nl 3. The only one i know snapped happened @ birth. ...Read more

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Is a straight umbilical cord dangerous?

Straight cord: It may be dangerous because of poor blood supply to the placenta abd fetus. ...Read more

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Why is the umbilical cord red and blue in color?

Why is the umbilical cord red and blue in color?

Blood vessels: There are two arteries-carting oxygenated blood from the placenta and one umbilical vein that carries de-oxygenated blood back to the placenta. The vein is blue and the arteries are reddish in color. ...Read more

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How to clean an infants umbilical cord once it has fallen off?

How to clean an infants umbilical cord once it has fallen off?

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 more

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Is it normal if umbilical cord stump bleeds?

Is it normal if umbilical cord stump bleeds?

Depends on situation: Since the umbilical stump is composed of arteries & a vein that fed baby during pregnancy, it acquired a significant size.As the cord stump dries & separates, there is often a bit of bleeding.Usually only enough to cover a few q-tips.Local care as you would a scratch is all that is needed unless the bleeding persists.Occasionally the pediatrician needs to cauterize a stubborn bleeder in the offic. ...Read more

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How do I care for my newborn's umbilical cord?

How do I care for my newborn's umbilical cord?

Umbilical cord care: Keep it clean and dry, only sponge bath till it fell off, usually within 2 weeks ...Read more

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What are stem cells used for from umbilical cord?

What are stem cells used for from umbilical cord?

Cord stem cell use: These early cells can be used for a variety of testing, but one of the most important is understanding what extracellular signals induce the stem cells to differentiate into a particular cell type. ...Read more

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What cause noise in the stomach and pain in umbilical cord?

What cause noise in the stomach and pain in umbilical cord?

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

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Umbilical cord stem cell collection is available everywhere now?

Umbilical cord stem cell collection is available everywhere now?

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