Re: 1999 BMJ articel on cord prolapse
From: Dr Eberhard Lisse (el@lisse.NA)
Mon May 22 17:58:51 2006
No idea,
we try to get the baby out in under 17 minutes. Last Thursday we managed
19 minutes in a fetal bradycardia at 34 weeks and 2 weeks IGUR.
el
on 5/22/06 9:43 PM Stmidwife@aol.com said the following:
>
> El, how often is this done and is it still done?
>
> *What to do with prolapsed pulsating umbilical cords*** 5 May 1999
>
> 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. Above
> all do not give up hope! Mama X went to her Traditional Birth Attendant
> (TBA) at 9pm. A prolapsed cord was found and acting on her protocol (she
> had done a six week course sponsored by Government and Mission) she
> referred Mama X to the Aid Post. Here the Nursing Aide (one year nursing
> course) acted on her instructions and referred Mama X to the Health
> Centre, having put a warm wet cloth and a pair of panties to protect the
> cord. At the Health Centre the Nurse /Midwife (three year course)
> referred her to the hospital. No one suggested the relatives carry her
> on a stretcher, so she walked. At 5am next morning she came into the
> maternity department by one door as I came in by the other. Leaving the
> labour ward nurse to get her ready I went to assemble the theatre staff.
> At 5.45am a healthy baby was born. Anne Seymour Retired Mission Doctor
> Harton House Rd South Shields 1 Geoffrey Chamberlain, Philip Steer ABC
> of labour care Unusual presentations and positions and multiple
> pregnancy BMJ1999 1 May 1192- 1194
>
--
Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar)
el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell)
PO Box 8421 \ / Please send DNS/NA-NiC related e-mail
Bachbrecht, Namibia ;____/ to dns-admin@na-nic.com.na
