Transperineal ultrasound assessment of fetal head elevation by maneuvers used for managing umbilical cord prolapse
Ultrasound in Obstetrics & Gynecology Nov 26, 2020
Kwan AHW, Chaemsaithong P, Wong L, et al. - Researchers conducted a prospective observational study on 20 pregnant women at term before elective cesarean delivery with the aim to objectively assess the degree of fetal head elevation by different maneuvers, including wedging the maternal buttocks, knee chest position, Trendelenburg position and filling up the maternal urinary bladder. Based on findings, knee‐chest position gave the strongest elevation effect, followed by filling the maternal urinary bladder with 500ml and 300ml fluid respectively. Modest effect was reported in correlation with filling the bladder with 100ml, Trendelenburg position and wedging the maternal buttocks. The findings led researchers to develop an algorithm that may aid in acute management of cord prolapse.
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