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Y4R2 - Obstetrics I 🤰 > L5: Malpresentation & Malposition (Cord) > Flashcards

L5: Malpresentation & Malposition (Cord) Flashcards

1
Q

Def of Cord Presentation & Prolapse

A
  • Presence of umbilical cord below or beside presenting part.
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2
Q

Incidence of Cord Presentation & Prolapse

A
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3
Q

Types of Cord Presentation & Prolapse

A
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4
Q

Types of Cord Presentation & Prolapse

  • Cord Presentation
A

umbilical cord below presenting part + intact membranes.

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5
Q

Types of Cord Presentation & Prolapse

  • Overt Cord Prolapse
A
  • Umbilical cord below presenting part + ruptured
    membranes. (umbilical cord descends though cervix into vagina).
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6
Q

Types of Cord Presentation & Prolapse

  • Occult Cord Prolapse
A
  • Umbilical cord is palpable only beside presenting part + ruptured membranes.
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7
Q

Types of Cord Presentation & Prolapse

  • Cord Expression
A
  • Umbilical cord is visible outside vulva.
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8
Q

Etiology of Cord Presentation & Prolapse

A
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9
Q

Etiology of Cord Presentation & Prolapse

  • Faults in passages
A
  • Contracted pelvis & pelvic tumors
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10
Q

Etiology of Cord Presentation & Prolapse

  • Faults in passengers
A
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11
Q

Etiology of Cord Presentation & Prolapse

  • Iatrogenic
A
  • AROM e high head or malpresentation + polyhydramnios.
  • Version & extraction.
  • Disengagement of head.
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12
Q

Dx of Cord Presentation & Prolapse

A
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13
Q

Dx of Cord Presentation & Prolapse

  • Suspicion
A
  • By presence of unusual & unexplained fetal distress diagnosed by:

a. changes in FHR after uterine contractions
b. prolonged bradycardia.
c. meconium-stained liquor.

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14
Q

Dx of Cord Presentation & Prolapse

  • PV
A
  • Cord is felt as a rope below or beside presenting part or visualized outside vulva.
  • Detect condition of membranes (intact or ruptured): To determine whether it is cord presentation or prolapse.
  • Detect cord pulsations
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15
Q

Management of Cord Presentation & Prolapse

A
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16
Q

Management of Cord Presentation & Prolapse

  • overt cord prolapse or cord expression
17
Q

Management of Cord Presentation & Prolapse

  • Cord presentation
18
Q

Management of Cord Presentation & Prolapse

  • Occult cord prolapse
19
Q

Complications of Cord Presentation & Prolapse

20
Q

Cord Presentation & Prolapse

  • Prognostic Factors

Y4R2 - Obstetrics I 🤰 (59 decks)

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