Re: cord prolapse / Foley & bladder distention (was Em Anes for

From: Bernard Cristalli (bcrist@club-internet.fr)
Fri Mar 26 14:52:55 1999


I suppose because it raises the head like it is when it's the resident's fingers. And the cord can't be squeezed against the bone.

--
Tonya Von Brooks, CPM a écrit:

> Bernard, > This makes sense to me.But I can't see how this will help if the cord is prolapsed > posterior between the fetal head and the lumbar or sacrum as two of mine were. I > hope I've seen the last one! > Tonya Brooks > > Bernard Cristalli wrote: > > > The bladder works as a cushion that deadens the pressure on the cord. Imagine > > you walk on a garden hose, if you do it on the cement it stops the water, if > > it's in the sand the water still flows. This procedure takes 3 minutes (assuming > > you've got a Foley cath, sterile water an a suitable syringe) and it frees one > > person. > > > > -- > > Jane Helwig, MD wrote: > > > > > ...Faith and Bernard, > > > > > > I did not think of this approach and haven't tried it. I guess that if the > > > cord is being compressed between the symphysis and the baby's head, distending > > > the bladder would be helpful. How would a distended bladder help if the cord > > > were anywhere else? > > > > > > Jane > > > > > > -- > > > Jane Helwig, MD > > > Private practice > > > Nassawadox, VA > > > > -- > > Bernard Cristalli MD CNGOF > > AIHP - ACCA > > Paris - France > > http://www.obgyn.net/corresp/cristalli.htm > > http://www.cliniquedelessonne.fr/

--
Bernard Cristalli MD CNGOF
AIHP - ACCA
Paris - France
http://www.obgyn.net/corresp/cristalli.htm
http://www.cliniquedelessonne.fr/




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