Re: 1999 BMJ articel on cord prolapse

From: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au)
Mon May 22 17:48:08 2006


It was written into our protocols in Empangeni for managing prolapsed cord and is still the only sure way of keeping the fetal head off the cord while getting to operate.

Steve

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From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of

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Stmidwife@aol.com
Sent: Tuesday, 23 May 2006 5:44 AM
To: Multiple recipients of list OB-GYN-L
Subject: 1999 BMJ articel on cord prolapse

El, how often is this done and is it still done?

What to do with prolapsed pulsating umbilical cords 5 May 1999 <http://bmj.bmjjournals.com/icons/spacer.gif> <http://bmj.bmjjournals.com/icons/spacer.gif> <http://bmj.bmjjournals.com/icons/misc/sectionTOP.gif> Anne Seymour Send response to journal: Re: What to do with prolapsed pulsating umbilical cords <http://bmj.bmjjournals.com/cgi/eletter-submit/318/7192/1192?title=Re%3A +What+to+do+with+prolapsed+pulsating+umbilical+cords>

EDITOR-I note from tomorrow's BMJ that patients still present with prolapsed pulsating cords in places where Caesarean section is not possible necessitating transfer of the patient. The article recommends the traditional methods of holding up the presenting part. In West Africa we have found the following method more successful. Pass a catheter and run in one bottle of intravenous saline (or if that is too expensive cooled boiled water). Disconnect the giving set and spigot the catheter. Most patients are very co-operative if they have been given a careful explanation of the procedure. As well as supporting the presenting part the full bladder tends to diminish contractions.





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