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Re: 1999 BMJ articel on cord prolapse From: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL) Tue May 23 03:18:27 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: 1999 BMJ article on cord prolapse" Previous message: Gail Graham: "Re: A rant and a poll" Maybe in reply to: Stmidwife@aol.com: "1999 BMJ articel on cord prolapse" Not to belittle this study, but a mean Apgar at 5 minutes of 9.5??? That obviously means there were a fair number of 10 Apgars given. I've only seen peds give one in the last 5 years, and that was on a term, not distressed baby. Glen //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer. ________________________________ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of -- ________________________________ RModugno@aol.com Sent: Monday, May 22, 2006 10:33 PM To: Multiple recipients of list OB-GYN-L Subject: Re: 1999 BMJ articel on cord prolapse 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 (c) 1988 by The American College of Obstetricians and Gynecologists ________________________________ ________________________________ Articles Management of labor with umbilical cord prolapse: a 5-year study Z Katz, Z Shoham, M Lancet, I Blickstein, BM Mogilner, and Y Zalel 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. Next message: Bernard Cristalli: "Re: 1999 BMJ article on cord prolapse" Previous message: Gail Graham: "Re: A rant and a poll" Maybe in reply to: Stmidwife@aol.com: "1999 BMJ articel on cord prolapse"

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