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Poll: what to do w/ cord prolapse? From: Betsy Hyde (elishyde@connix.com) Fri Nov 28 16:57:08 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Betsy Hyde: "Re: the answer" Previous message: WALTER EVANS: "Re: Rubenesque Surgery" > While all this is going on, I call the insurance company >to get authorization to do the C-section. If I'm placed on hold, I make it a >policy not to hang on the phone longer that 15 minutes. After all, this is >an emergency. > >Oh yes, I forgot to mention that before I do any of this, as soon as the >diagnosis of cord prolapse is made, I go to the nurses station to make sure >we have a clinical pathway for cord prolapse. Then I check to see if ACOG >has a criteria set for cord prolapse....sorry about this omission. > >Robert Brenner MD FACOG >Pikesville MD >robbrenner@earthlink.net Some of you denizens of the midwife list know about the Hyde maneuver for reduction of cord prolapse. Cheri van Hoover suggested I repost it here. Although this is a humorous story, it is absolutely true. Since it's Friday, the traditional day for silly stories, here goes...... > I was a labor nurse in an Oklahoma hospital where the service was just an >absolute zoo. It was like a MASH unit for OB. I was the charge nurse and >was pregnant.Can you imagine white scrubs in OB? Puh-leese. I looked like >the Goodyear Blimp with fat little swollen feet ( I lived 75 miles away, >and spent all my time in my little red car zooming down I35, dodging >tornados, or on my feet at work.) > >One night we had a grand multip who spoke no English. She was laboring >away and had spontaneous ROM and prolapsed a cord. The resident, who was a >tiny little thing, jumped into bed with her, I put the bed in >trendelenberg, she elevated the head off the cord and we went racing to >the OR. The route to the OR had a few corners in it. This was not a place >where a lot of people came to your aid, since they were all coping with >their own obstetrical disasters, so this 8 month pregnant woman (me ) is >pushing a bed with 2 people yelling and screaming. > >Anyway, you know how fast those hospital beds get going...I was flying >down the corridor and smashed the bed into the wall. Hit it hard enough to >make a 6 inch hole in the sheetrock. Hit it hard enough to do a whiplash >number on that fetus who flew to about a minus 10 station, taking his >little cord with him. I quickly threw the bed into a straight up sitting >position, the head slammed into the pelvis and mom went on to deliver >normally. I don't think any of our Spanish was good enough to ever explain >to this poor bewildered woman just exactly *what* we were trying to do!! >So that is what was labelled the Hyde maneuver during a very silly thread >a while ago. *************************************************************************** But that was then, and this is now. I'd probably have to get -- preauthorization from her HMO to do this maneuver today. Betsy Hyde CNM Branford, CT Next message: Betsy Hyde: "Re: the answer" Previous message: WALTER EVANS: "Re: Rubenesque Surgery"

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