A cord in the hand ... was umbilical cord hematoma

From: Joanne Bulley (islesannie@yahoo.com)
Sat Sep 9 12:37:31 2000


I had a woman in labor with the weirdest tracing - beautiful reactivity, profound decel - with good reactivity at the bottom then return to being beautiful. First baby. After enough of these with nothing making a profound change and the labor going like a first labor (only 1 or 2 cm when the decels started) - I gave up and did a C/S - telling the patient and hubby that my gut said things were fine and this was some type of intermittent cord compression, but I couldn't wait it out.

At C/S - the kid had the cord held in its hand. My supposition - it "held its cord" til it "passed out" then would come to. Just like our kids who hold their breath, pass out and then are fine. I guess it'd be an interesting tracing to post or print as a case report, but God only knows what the mom's name was or when she delivered...

Joanne

At Sat, 9 Sep 2000, RModugno@aol.com wrote: >
>In a message dated 9/8/00 8:01:58 PM Eastern Daylight Time,
>jane@seasonedsystems.com writes:
>
><< I have often wondered whether a fetus could suck on
> the cord and produce a hematoma.
> >>
>
>You mean like kind of a "funic hickey? "
>
>Robert Modugno MD MBA FACOG
>Marietta, GA

--
Joanne Bulley, MD, FACOG
Keene, NH, USA




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