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Re: Nuchal Cord ReduxFrom: Mario Libardi (mariolibardi@uol.com.br)Thu Dec 30 01:55:18 2004
I agree 100% with Dr.Fazeel. Congrats Mario Libardi, MD Brasil
> nuchal cord (presence or absence) detection rate should be
100% in good
> hands and good machines with doppler.
induction and the
> risk of Cesarean section
College London
> Hospitals, London, UK
presence of a
> nuchal cord immediately prior to induction of labor and the
labor in 289
> women in a prospective study to assess the presence of a
nuchal cord.
> The presence of a nuchal cord was classified as present,
absent or
> uncertain. The outcomes of labor, delivery and the neonates
incidence was not
> affected by parity, fetal position or reduced amniotic
fluid volume. The
> sensitivity of ultrasound in diagnosing a nuchal cord was
37.5%, with
> specificity, positive and negative predictive values of
80%, 29% and
> 85%, respectively. The presence of a nuchal cord did not
significantly
> increase the risk of delivery by Cesarean section (35% vs.
28%;
> relative risk = 1.22; 95% CI, 0.80-1.87), instrumental
delivery for
> fetal distress, an abnormal cardiotocograph in labor or at
delivery, an
> Apgar score < 7 at 1 min, arterial cord pH < 7.1 or
neonatal unit
> admission.
cord is low
> prior to induction of labor at term. A nuchal cord does not
outcome. The
> low ultrasound detection rate of a nuchal cord limits its
use in
> decision making prior to induction of labor in high-risk
pregnancies.
> Copyright © 2004 ISUOG. Published by John Wiley & Sons, Ltd. __________________________________________________________________________ Acabe com aquelas janelinhas que pulam na sua tela. -- __________________________________________________________________________ AntiPop-up UOL - É grátis! http://antipopup.uol.com.br/
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