Management of labor with umbilical cord prolapse: a 5-year study.

作者: Katz Z , Shoham Z , Lancet M , Zalel Y , Blickstein I

DOI:

关键词: MedicineObstetricsSalineUmbilical cord prolapseSurgeryRitodrineCord prolapseApgar scoreFetal distressUrinary bladderFetus

摘要: Fifty-one cases of cord prolapse, in which delivery was not imminent and the fetus still alive, were managed by filling bladder with 500-700 mL saline intravenous ritodrine. Delivery cesarean section as soon possible. Among so managed, there no perinatal deaths. The mean 5-minute Apgar score 9.5, only three it less than 7. In eight cases, fetal distress continued after treatment, compared 33 before this type treatment started (P .001); difference found outcome between neonates weighing or greater 2500 g.

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