Re: Nuchal cord
From: Latha Natarajan (nattu@vsnl.com)
Mon Jul 11 23:23:24 2005
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OK, Thanks for this point - a systolic notch ?
I had tried insonation at various points and so far I had not come across a notch.-
Recently, we had a case of cord twice round the neck, a difficult slow vag. delivery. Baby was mildly pale and limp at birth , did well after due measures.
About 6 hrs prior to delivery and during the early II stage of labour Umb. Arteries were interrogated with no abnormal wave forms. After sufficient drainage of Liq. couldn't get signals for obvious reasons..
Towards the late II stage FH rate slowed down between contractions , slight mec. staining was noted. Hastened the delv. process, with an outlet forceps.
I am of conclusion that clinical knowledge and experience comes handy knowing well the fallacies of u/s technology . ( My final points in debate as a measure of "escape" !! )- Am I justified in saying this ?
LN.
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----- Original Message -----
--------------------------------------------------------------------------------
From: "art fougner, md" <evsono@pipeline.com>
--
--------------------------------------------------------------------------------
To: "Multiple recipients of list ULTRASOUND" <ultrasound@dns.obgyn.net>
Sent: Monday, July 11, 2005 10:34 PM
Subject: Re: Nuchal cord
> One suggestion from the AIUM meeting was to look at the umbilical artery
> doppler - it appears that cord compression might be suspected by
> notching in the artery waveform.
>
> art
>
> At Mon, 11 Jul 2005, Dave Berck wrote:
> >
> >problem is -- if you're also the obstetrician, you put the monkey on yourself, and let me tell you, my back's pretty crowded. I treat nuchal cords the same way as i treat incidental cardiac decelerations, isolated echogenic foci, and certain relatives -- I do my best to ignore them.
> >
> >Latha Natarajan <nattu@vsnl.com> wrote:Thanks Ibrahim.
> >
> >LN.
> >
>> >>----- Original Message -----
> >From: bouthina ibrahim To: Multiple recipients of list ULTRASOUND
> >Sent: Sunday, July 10, 2005 10:30 AM
> >Subject: Re: Nuchal cord
> >
> >we must examine fetal nect in transverse view and examine number of knots around fetal neckas it may cause fetal iugr
> >"art fougner, md" <evsono@pipeline.com> wrote: No consensus presently -
> >this topic has been discussed before ...
> >try the search function and you'll find many diverse opinions.
> >
> >art
> >
> >At Sat, 9 Jul 2005, Latha Natarajan wrote:
> >>
> >>--Boundary_(ID_Os0C21aoRU8/92gmFAjv/Q)
> >>Content-type: text/plain; charset=iso-8859-1
> >>Content-transfer-encoding: 7BIT
> >>
> >>Dear friends,
> >>
> >>Is there a consensus on reporting of nuchal cord , esp. in the III Trimester ?
> >>We have a debate on this topic next week.
> >>
> >>Any help on this topic will be appreciated.
> >>Please give your inputs - personal experiences and view-points.
> >>
> >>Thanks,
> >>LN.
> >>Bangalore, India
> >>
> >>--Boundary_(ID_Os0C21aoRU8/92gmFAjv/Q)
> >>Content-type: text/html; charset=iso-8859-1
> >>Content-transfer-encoding: 7BIT
> >>
> >> Dear friends,
> >
> >> Is there a consensus
> >>on reporting of nuchal cord , esp. in the
> >>III Trimester ?
> >
> >> We have a debate
> >>on this topic next week.
> >
> >> Any help on this topic
> >>will be appreciated.
> >
> >> Please give your inputs - personal
> >>experiences and view-points.
> >
> >> Thanks,
> >
> >> LN.
> >
> >> Bangalore, India
> >
> >>--Boundary_(ID_Os0C21aoRU8/92gmFAjv/Q)--
> >
> >--
> >art fougner, md
> >
> >"If you don't know where you are going, you will wind up somewhere else."
> >Lawrence Peter Berra
> >
> >David J. Berck, MD, MPH
> >
>
> --
> art fougner, md
>
> "If you don't know where you are going, you will wind up somewhere else."
> Lawrence Peter Berra
--Boundary_(ID_K3sTKhRuDjRtRDqXiuadng)
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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
OK, Thanks for this point - a
systolic notch ?
I had tried insonation at
various points and so far I had not
come across a notch.-
Recently, we had a case of cord
twice round the neck, a difficult slow vag. delivery. Baby
was mildly pale and limp at birth , did well after due
measures.
About 6 hrs prior to delivery and
during the early II stage of labour Umb. Arteries were interrogated
with no abnormal wave forms. After sufficient
drainage of Liq. couldn't get signals for obvious
reasons..
Towards the late II stage FH
rate slowed down between contractions , slight
mec. staining was noted. Hastened the delv. process, with an
outlet forceps.
I am of conclusion
that clinical knowledge and experience comes
handy knowing well the fallacies of u/s
technology . ( My final points in debate as a
measure of "escape" !! )- Am I justified in saying
this ?
LN.
>----- Original Message -----
Sent: Monday, July 11, 2005 10:34 PM
Subject: Re: Nuchal cord
> One suggestion from the AIUM meeting was to look at the umbilical
artery
> doppler - it appears that cord compression might be suspected
by
> notching in the artery waveform.
>
> art
>
> At Mon, 11 Jul 2005, Dave Berck wrote:
> >
> >problem
is -- if you're also the obstetrician, you put the monkey on yourself, and
let me tell you, my back's pretty crowded. I treat nuchal cords the same way as
i treat incidental cardiac decelerations, isolated echogenic foci, and certain
relatives -- I do my best to ignore them.
> >
> >Latha
Natarajan <nattu@vsnl.com> wrote:Thanks
Ibrahim.
> >
> >LN.
> >
> >>-----
Original Message -----
> >From: bouthina ibrahim To: Multiple
recipients of list ULTRASOUND
> >Sent: Sunday, July 10, 2005 10:30
AM
> >Subject: Re: Nuchal cord
> >
> >we must examine
fetal nect in transverse view and examine number of knots around fetal neckas it
may cause fetal iugr
> >"art fougner, md" <evsono@pipeline.com> wrote: No
consensus presently -
> >this topic has been discussed before
...
> >try the search function and you'll find many diverse
opinions.
> >
> >art
> >
> >At Sat, 9 Jul
2005, Latha Natarajan wrote:
> >>
>
>>--Boundary_(ID_Os0C21aoRU8/92gmFAjv/Q)
> >>Content-type:
text/plain; charset=iso-8859-1
> >>Content-transfer-encoding:
7BIT
> >>
> >>Dear friends,
> >>
>
>>Is there a consensus on reporting of nuchal cord , esp. in the III
Trimester ?
> >>We have a debate on this topic next week.
>
>>
> >>Any help on this topic will be appreciated.
>
>>Please give your inputs - personal experiences and view-points.
>
>>
> >>Thanks,
> >>LN.
> >>Bangalore,
India
> >>
>
>>--Boundary_(ID_Os0C21aoRU8/92gmFAjv/Q)
> >>Content-type:
text/html; charset=iso-8859-1
> >>Content-transfer-encoding:
7BIT
> >>
> >> Dear friends,
> >
>
>> Is there a consensus
> >>on reporting of nuchal cord , esp.
in the
> >>III Trimester ?
> >
> >> We have a
debate
> >>on this topic next week.
> >
> >>
Any help on this topic
> >>will be appreciated.
> >
>
>> Please give your inputs - personal
> >>experiences and
view-points.
> >
> >> Thanks,
> >
> >>
LN.
> >
> >> Bangalore, India
> >
>
>>--Boundary_(ID_Os0C21aoRU8/92gmFAjv/Q)--
> >
>
>--
> >art fougner, md
> >
> >"If you don't know
where you are going, you will wind up somewhere else."
> >Lawrence
Peter Berra
> >
> >David J. Berck, MD, MPH
>
>
>
> --
> art fougner, md
>
> "If you
don't know where you are going, you will wind up somewhere else."
>
Lawrence Peter Berra
--Boundary_(ID_K3sTKhRuDjRtRDqXiuadng)--
