Ultrasonic detection of “hourglass membranes” with funic presentation

Christopher, Charles R.; Spinelli, Anastasia; Collins, Marcia L.

doi:10.1097/00006250-197907000-00031

Cited by 13 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…When bulging prolapsed membranes develop out of the cervix into the vagina during the second trimester (Fig. 1a,b), in many cases the situation progresses to abortion or premature birth, and neonatal prognosis is poor 1–7 . Since neonatal prognosis is affected by the number of weeks of gestation, the prolongation of gestation is generally attempted for as long as possible.…”

Section: Introductionmentioning

confidence: 99%

A new technique using a rubber balloon in emergency second trimester cerclage for fetal membrane prolapse

Kanai

Ashida

Ohira

et al. 2008

J of Obstet and Gynaecol

View full text Add to dashboard Cite

Aim: Prolongation of pregnancy in cases of fetal membrane prolapse into the vagina during the second trimester is difficult using conservative therapy. After pushing the membranes back into the cervix, emergency cervical cerclage may be advantageous in improving the neonatal outcome.We have been managing membrane repositioning and emergency cervical cerclage with a technique using a rubber balloon device (known as a'mini metreu' in Japan), and we examined the efficacy of this technique in five cases. Methods: Our management was as follows: Initially, the full bladder technique was attempted under general anesthesia. If this was not effective, amnioreduction was performed by transabdominal amniocentesis. After the membrane repositioning using a mini metreu, double suture cervical cerclage (McDonald method + Shirodkar method) was performed. Results: The diameter of the bulging prolapsed membranes ranged from 30-84 mm, with a mean of 52 mm. Cerclage was successfully performed in all of the five cases. Prolongation of the pregnancy period was from 22-107 days (average; 77.6 _ 28.9 days). In cases 1-4, healthy newborns were delivered, but in case 5 sudden intrauterine fetal death due to umbilical cord complications occurred at 24 weeks of gestation. Conclusion: It appears that long-term prolongation of pregnancy is possible, when performing membrane repositioning using the mini metreu and emergency cervical cerclage for fetal membrane prolapse into the vagina.

show abstract

Section: Introductionmentioning

confidence: 99%

A new technique using a rubber balloon in emergency second trimester cerclage for fetal membrane prolapse

Kanai

Ashida

Ohira

et al. 2008

J of Obstet and Gynaecol

View full text Add to dashboard Cite

show abstract

“…In addition to these previously reported obstetrical interventions leading to umbilical cord prolapse, 1,3,9 this study confirms that other interventions such as intrauterine pressure catheter insertion, amnioreduction, external cephalic version, management of patients with PPROM may contribute to the occurrence of cord prolapse. In our series, cord prolapse followed some form of obstetrical intervention in (13) *p = 0.02.…”

Section: Discussionmentioning

confidence: 75%

“…There have been several reports to date describing the ultrasonographic detection of occult cord prolapse. [11][12][13] Lange et al 11 have recommended that all patients with abnormal presentations at term be evaluated sonographically for the location of the umbilical cord. Depending on the ultrasound findings; the patient may be sent home, observed in the hospital, or delivered by cesarean section.…”

Section: Discussionmentioning

confidence: 99%

Current Obstetrical Practice and Umbilical Cord Prolapse

Usta¹,

Mercer²,

Sibai³

1999

Amer J Perinatol

View full text Add to dashboard Cite

“…Early diagnosis of prolapse of the umbilical cord with prompt caesarean section may lead to improved outcomes. Although the first sign of cord prolapse is often abnormality of the fetal heart rate, funic presentation has also been identified by prenatal ultrasound 2–6 . Most authors have suggested that this is an indication for caesarean section.…”

Section: Discussionmentioning

confidence: 99%