Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
8 Cards in this Set
- Front
- Back
incidence of cord prolapse/presentation
|
0.1-0.62% of all births
|
|
incidence of UCP with breech prsnetation and transverse lie
|
breech 4-6%
transverse Lie 7-15% |
|
Risk Factors associated with UCP(6)
|
malpresentation
second twin polyhydramnios high presenting part PPROM PROM |
|
Management of UCP If membranes intact
|
remove hand immediately
call for help transfer woman in ambulance in knee-chest positon |
|
Management of UCP (intrapartum)
|
call for help
move woman to knee-chest position consider alternate position if fhr is abnormal inform woman of sitution and need for c/s replace cord into vagina manual elevaion of presenting aprt using digital pressure on the presenting part to hold it away from cord maintain manual elevation until c/s oxygen to mother monitor fhr as continuously as possible draw bloods start IV Document |
|
If full dilation and birth is imminent with UCP
|
facilitate birth by use of maternal position effort perineal pressure and or episiotomy
prep for NRP clamp and cut leaving several inches |
|
How long do you have if birth is imminent
|
4 minutes
|
|
How do you fill bladder to raise presenting part off prolapsed cord
|
fill bladd er with 400-750 cc warm NS using a clamped foley catheter held in place by inserting 5-10cc in to the balloon
use the same knee chest position a warmed wet tampon can be used to prevent cord from descending into vagina |