The value of bladder filling in addition to manual elevation of presenting fetal part in cases of cord prolapse
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- Bord, I., Gemer, O., Anteby, E.Y. et al. Arch Gynecol Obstet (2011) 283: 989. doi:10.1007/s00404-010-1509-y
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To compare perinatal outcome of deliveries complicated by cord prolapse between cases in which bladder filling was performed in addition to supporting presenting part and cases where only support was employed.
Materials and methods
A retrospective review of 44 deliveries complicated by prolapse occurring after admission was made. The first group included 29 patients who were rushed to a cesarean section with doctor’s hand inside the vagina pushing the presenting part. The second group of 15 patients, included women whose bladder was filled with 500 cc of normal saline in addition to manual support.
Time to delivery was similar in the first and second group (19.7 ± 9.46 and 21.6 ± 11.9, P = 0.57; respectively) as well as the mean neonatal pH values (7.28 ± 0.09 and 7.26 ± 0.07, P = 0.55; respectively). There was no significant difference in proportion of neonates with an Apgar score of less than 7 between the two arms.
The addition of bladder filling to further displace the presenting part did not improve the neonatal outcome which was not compromised regardless of the measures employed.