- October 14, 2017 at 17:29 #3656
Umbilical cord can be seen by ultrasound. Conclusions about fetal well-being can be made from fetal heart tracings and umbilical Doppler velocimetry. Amnioinfusion may be used to relieve cord compression and prevent cesarean sections. Nuchal umbilical cord can be fearlessly and expertly managed. Obstetricians can perform many things, but should not get used to it.
Previously, it has been very simple to attribute stillbirth to cord complications. Abnormal cord insertions, cord prolapse, cord rupture, along with other reasons of occlusion have been taken into account for up to 15% of stillbirths. However, cord entanglements, nuchal cords and true knots should not be considered the reason for stillbirth until other causes are excluded. Cord occlusion leading to stillbirth also needs to leave proof of the constriction of umbilical bloodstream vessels or congestion, edema, or thrombosis in acute cases.
You have to keep in mind that after delivery, the care continues to be directed to the stabilization of the mother and infant, the placenta and cord should not be instantly relegated towards the pan to become later discarded. In cases involving operative vaginal delivery, emergent cesarean section, shoulder dystocia, vaginal breech delivery, thick meconium, suspected maternal infection, recurrent late or variable fetal heartbeat decelerations, prolonged fetal heartbeat decelerations, Apgar scores of less than 5 at 1 min and/or less than 7 at 5 min, or premature birth less than 37 weeks, a segment of umbilical cord saved for bloodstream gas evaluation along with a portion of placenta set aside for pathologic examination may prove invaluable.
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