Korean J Obstet Gynecol.  2011 Jun;54(6):300-303. 10.5468/KJOG.2011.54.6.300.

Fetal survival after emergent cesarean section for umbilical cord prolapse with propofol anesthesia in case of anesthesiologist and pediatrician unavailable: A case report

• Jung SE
• Cho SH
• Park SY
• Koo MK
• Lee YY

• KMID: 2274038
• DOI: http://doi.org/10.5468/KJOG.2011.54.6.300

Abstract

Umbilical cord prolapse is a rare obstetric emergency that requires an expeditious delivery for fetal survival. This serious obstetrical emergency is unfamiliar to many physicians although it represents an acute emergency with high mortality. We have experienced a woman with umbilical cord prolapse and prolonged fetal heart rate deceleration who underwent an emergent cesarean section under use of propofol and the neonate survived with resuscitation when there were no anesthesiologist and pediatrician. There were no adverse outcomes on the woman and neonate.

Keyword

Umbilical cord prolapse; Emergent cesarean section; Prolonged fetal deceleration; Propofol

MeSH Terms

Anesthesia
Cesarean Section
Deceleration
Emergencies
Female
Heart Rate, Fetal
Humans
Infant, Newborn
Pregnancy
Prolapse
Propofol
Resuscitation
Umbilical Cord
Propofol

Figure

• 

  Fig. 1 At 41 weeks of gestation, fetal monitoring showed prolonged deceleration after occurring umbilical cord prolapse.

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