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Umbilical cord prolapse

R M Chetty, J Moodley

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |January 26, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Bladder filling with saline can relieve pressure on a prolapsed umbilical cord. This simple first-aid technique resulted in zero perinatal deaths in 24 cases, offering a safe alternative to other methods.

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    Area of Science:

    • Obstetrics and Gynecology
    • Fetal Medicine

    Background:

    • Umbilical cord prolapse is a critical obstetric emergency.
    • Pressure on the prolapsed cord can lead to fetal hypoxia and adverse outcomes.

    Purpose of the Study:

    • To evaluate the efficacy of transvaginal bladder filling with saline as a first-aid measure for umbilical cord prolapse.

    Main Methods:

    • Transvaginal filling of the bladder with 400-500 ml of saline solution.
    • Displacement of the presenting part to relieve cord compression.

    Main Results:

    • No perinatal deaths occurred in 24 patients managed with this technique.
    • The average interval from diagnosis to delivery was 65 minutes.
    • This method demonstrated significant advantages over alternative first-aid measures.

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    Conclusions:

    • Transvaginal bladder filling with saline is an effective and safe first-aid intervention for umbilical cord prolapse.
    • This technique can significantly improve perinatal outcomes in emergency situations.