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Umbilical cord presentation after use of a trans-cervical balloon catheter.
- Source :
-
Journal of Obstetrics & Gynaecology Research . Mar2013, Vol. 39 Issue 3, p658-662. 5p. 4 Charts. - Publication Year :
- 2013
-
Abstract
- Aim To examine the incidence of umbilical cord presentation, including cord prolapse (UCP) and cord descent (UCD), after the use of a trans-cervical balloon catheter (TCBC), such as a Foley catheter and a metreurynter, for the induction of labor (IOL). Methods A retrospective medical chart review was conducted, focusing on the occurrence of UCP and UCD in 800 women who underwent IOL with a TCBC at five hospitals during the study period (2008-2009 for two hospitals and 2006-2009 for three hospitals). The five hospitals had a total of 8245 deliveries during the study period. UCP and UCD were defined as the descent of the umbilical cord in advance of the presenting fetal part in the presence and absence of rupture of fetal membranes, respectively. Results The frequency of IOL using a TCBC with 70-250 mL of saline varied among the five hospitals from 4.9% to 18.8% (mean ± SD, 10.7 ± 5.0%). UCP and UCD occurred in two and four women, respectively, with the frequency of cord presentation varying among the hospitals from 0.0% to 1.8% (mean ± SD, 0.9 ± 0.9%); the cord presentation was significantly more likely to occur when 180-250 mL of saline was used, compared with when 70-150 mL of saline was used (8.2% [5/61] vs 0.15% [1/662], P < 0.0001). A change in the presenting fetal body part also occurred in 0.5% (4/800) of the women. Conclusion The use of a TCBC with 180-250 mL of saline increases the risk of cord presentation. [ABSTRACT FROM AUTHOR]
- Subjects :
- *INDUCED labor (Obstetrics)
*CATHETERIZATION
*PROLAPSE of bodily organs
*APGAR score
*CONFIDENCE intervals
*FISHER exact test
*EVALUATION of medical care
*MEDICAL cooperation
*PHYSIOLOGIC salines
*RESEARCH
*UMBILICAL cord
*DISEASE incidence
*RETROSPECTIVE studies
*DATA analysis software
*DESCRIPTIVE statistics
*PREGNANCY
*DISEASE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 13418076
- Volume :
- 39
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Journal of Obstetrics & Gynaecology Research
- Publication Type :
- Academic Journal
- Accession number :
- 85747367
- Full Text :
- https://doi.org/10.1111/j.1447-0756.2012.02008.x