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There are three types of umbilical prolapse that can occur: [12] overt umbilical cord prolapse: descent of the umbilical cord past the presenting fetal part. In this case, the cord is through the cervix and into or beyond the vagina. Overt umbilical cord prolapse requires rupture of membranes. This is the most common type of cord prolapse.
Umbilical cord prolapse occurs when the umbilical cord comes out of the uterus with or before the presenting part of the fetus. Umbilical cord prolapse should always be considered a possibility when there is a sudden decrease in fetal heart rate or variable decelerations, particularly after the rupture of membranes. With overt prolapses, the ...
Intrauterine hypoxia (also known as fetal hypoxia) occurs when the fetus is deprived of an adequate supply of oxygen.It may be due to a variety of reasons such as prolapse or occlusion of the umbilical cord, placental infarction, maternal diabetes (prepregnancy or gestational diabetes) [1] and maternal smoking.
Besides placenta previa and placental abruption, uterine rupture can occur, which is a very serious condition leading to internal or external bleeding. Bleeding from the fetus is rare, but may occur with two conditions called vasa previa and velamentous umbilical cord insertion where the fetal blood vessels lie near the placental insertion site unprotected by Wharton's jelly of the cord. [11]
Umbilical cord prolapse may occur, particularly in the complete, footling, or kneeling breech. [23] This is caused by the lowermost parts of the baby not completely filling the space of the dilated cervix. [23] When the waters break the amniotic sac, it is possible for the umbilical cord to drop down and become compressed. [23]
On occasion, with the rupture of membranes, particularly if the head is not engaged, the umbilical cord may prolapse. A cord prolapse is an obstetrical emergency, as the descending head may block fetal-placental circulation. Once the membranes are ruptured, bacteria may ascend and could lead to amnionitis and fetal infection.
Items are needed to clamp or tie the umbilical cord in two places. Shoestrings or strips of a sheet folded into narrow bands may be used. [17] These items can be sterilized by boiling (20 minutes) or soaking in alcohol (up to 3 hours). [17] Scissors or a knife are needed to cut the umbilical cord and may be sterilized with the same procedure. [17]
A nuchal cord is when the umbilical cord becomes wrapped around the fetus's neck. [1] Symptoms present in the baby shortly after birth from a prior nuchal cord may include duskiness of face, facial petechia, and bleeding in the whites of the eye. [1] Complications can include meconium, respiratory distress, anemia, and stillbirth. [1]