Near the delivery period, pregnant mothers always have a bad grasp of the signs of pre-labor, do not know what circumstances to go to the hospital, and often have the phenomenon of blowing up beard. For example, see the red, hurry to the hospital to see, ready to give birth, the result was driven back by the doctor; and then for example, waist acid, stomach a little pain, also rush to the hospital, the result of the doctor said irregular contractions, first go home to continue observation, no need to be hospitalized...
But do pregnant mothers know? Once the water is broken, it must be treated immediately, and the doctor will immediately admit it to the hospital, why is this?
Because after the premature rupture of membranes, doctors are most afraid of umbilical cord prolapse. Cord prolapse is an obstetric emergency that, once it occurs, is critical, so hospitalization is necessary for observation.
How critical is cord prolapse?
After the occurrence of cord prolapse, the fetus must be delivered within 8 minutes, otherwise the life of the fetus is threatened, resulting in fetal stillbirth in the womb, with a mortality rate of up to 40%.
In just eight minutes, the life of the baby will be solved, and you can imagine how critical it is!
What is umbilical cord prolapse?
When the fetal membrane rupture occurs, the umbilical cord is detached from the bottom of the fetal first exposed part, enters the vagina through the cervix, and even exposes the vulva through the vagina, which is the umbilical cord prolapse. If the membrane is not ruptured, the umbilical cord is located in front of or on one side of the fetal first exposed part, which is called the first exposed umbilical cord, also known as hidden umbilical cord prolapse. After rupture of membranes in this condition, umbilical cord prolapse is more likely.
Why is cord prolapse so urgent?
When the fetal membrane has ruptured, the fetal first dew has entered the pelvis, and the umbilical cord is compressed by the fetal first dew and the pelvis, and the blood circulation of the placenta is obstructed, which can cause severe fetal distress. It is manifested by the sudden frequent movement of the fetus, the acceleration of the fetal heart rate first, the deceleration, or even the complete disappearance, and the appearance of amniotic fluid fecal staining. If the cord is severely compressed, the blood flow to the umbilical cord can be completely blocked, resulting in rapid fetal death.
What are the causes of cord prolapse?
Fetal abnormalities: there is a gap between the fetal first exposed site and the pelvis, and the umbilical cord is easy to slide out. Such as the foot in the buttock position is exposed first.
Poor fetal head articulation: such as pelvic stenosis, unsympathy of the head pelvis, etc., so that the fetus can not connect or poor articulation, the umbilical cord comes out of the gap between the pelvis and the fetal head.
Cord is too long: Umbilical cord length ≥ 80 cm is too long for the umbilical cord.
Other factors: twins, premature birth, excessive amniotic fluid, and umbilical cord sail attachment are also triggers for cord prolapse.
Treatment of umbilical cord prolapse
When umbilical cord prolapse occurs, if it has entered the labor process, the doctor judges that it can end the labor process as soon as possible and let the fetus give birth as quickly as possible, and will use the method of accelerating the labor process to promote delivery. If the pregnant mother does not enter the labor, the doctor will deliver the caesarean section as quickly as possible, so that the fetus can be delivered as soon as possible and save the life of the fetus.
Dr. Huang: Because umbilical cord prolapse is a sudden emergency, it is generally difficult to detect it in advance. However, pregnant mothers with high risk factors for cord prolapse should closely monitor fetal movement and fetal heart rate, and go to the hospital in time to improve the early diagnosis rate of cord prolapse. When such high-risk pregnant mothers have rupture of membranes, they should immediately lie down, seek family help, and seek medical treatment immediately.