management of the nuchal cord at birth

نویسندگان

david jr hutchon frcog past president of the north of england obstetrical and gynaecological society, (retired) obstetrician and gynaecologist, memorial hospital, darlington, uk

چکیده

background and aim: although nuchal cord is a common occurrence at birth, there is little attention to its importance or management at birth, and teaching includes premature clamping and cutting of the cord as the common option.  although grade 1 evidence is lacking, the optimal management of the nuchal cord,  the somersault manoeuvre  is not taught or included in any current guidelines. what evidence there is, presented in this review.

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منابع مشابه

Management of the Nuchal Cord at Birth

Background and aim: Although nuchal cord is a common occurrence at birth, there is little attention to its importance or management at birth, and teaching includes premature clamping and cutting of the cord as the common option.  Although grade 1 evidence is lacking, the optimal management of the nuchal cord,  the Somersault manoeuvre  is not taught or included in any current guidelines. What e...

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Nuchal cord management and nurse-midwifery practice.

Nuchal cord, or cord around the neck of an infant at birth, is a common finding that has implications for labor, management at birth, and subsequent neonatal status. A nuchal cord occurs in 20% to 30% of births. All obstetric providers need to learn management techniques to handle the birth of an infant with a nuchal cord. Management of a nuchal cord can vary from clamping the cord immediately ...

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Nuchal cord and its implications

Nuchal cord occurs when the umbilical cord becomes wrapped around the fetal neck 360 degrees. Nuchal cords occur in about 10-29% of fetuses and the incidence increases with advancing gestation age. Most are not associated with perinatal morbidity and mortality, but a few studies have shown that nuchal cord can affect the outcome of delivery with possible long-term effects on the infants. Nuchal...

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Assessment of the Number of Umbilical Cord Vessels at the Time of Nuchal Translucency Screening

Nuchal translucency (NT) thickness is utilized as a screening test in prenatal assessment of risk of aneuploidy in the first trimester. This test is performed between 11.0-13.9 weeks gestational age, corresponding to a crown-rump length (CRL) of 45-84mm. Alone, or in combination with maternal serum analytes of pregnancy-associated plasma protein A (PAPP-A) and beta human chorionic gonadotropin ...

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The effect of nuchal cord on nuchal fold thickness measured in the second trimester.

PURPOSE To find out whether nuchal cord causes an effect on the nuchal skin fold thickness (NFT) measurements, or not. PATIENTS AND METHODS A total of 242 fetuses with normal outcomes that had undergone detailed second trimester US scan between 18 and 24 weeks of gestation were included in the study. NFT measurements were made on axial cranial US images passing through the cerebellum and cavu...

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عنوان ژورنال:
journal of midwifery and reproductive health

جلد ۱، شماره ۱، صفحات ۴-۶

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