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Re: 1999 BMJ articel on cord prolapseFrom: RModugno@aol.comMon May 22 16:30:46 2006
In a message dated 5/22/2006 5:25:36 P.M. Eastern Standard Time, RModugno writes: Yeah, if I remember correctly, there was a paper from Israel regarding the protocol they used for bladder filling and prolapsed cord a while back. Robert Modugno MD MBA FACOG Marietta, GA This is the one I was referring to: Obstetrics & Gynecology 1988;72:278-281 © 1988 by The American College of Obstetricians and Gynecologists ____________________________________ Articles=20 ____________________________________ Management of labor with umbilical cord prolapse: a 5-year study <NOBR>Z <NOBR>Z <NOBR>M <NOBR>I Bl <NOBR>BM Mo and and <N Fifty-one cases of cord prolapse, in which delivery was not imminent and the fetus was still alive, were managed by filling the bladder with 500-700 mL of saline and by intravenous ritodrine. Delivery was by cesarean section as soon as possible. Among the cases so managed, there were no perinatal deaths. The mean 5-minute Apgar score was 9.5, and in only three cases was it less than 7. In eight cases, fetal distress continued after treatment, as compared with 33 cases before this type of treatment started (P less than .001); no difference was found in the outcome between neonates weighing less than or greater than 2500 g.
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