Journal List > Korean J Obstet Gynecol > v.54(6) > 1088286

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Jung, Cho, Park, Koo, and Lee: Fetal survival after emergent cesarean section for umbilical cord prolapse with propofol anesthesia in case of anesthesiologist and pediatrician unavailable: A case report
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2011; 54(6): 300-303.

Published online: 30 June 2011

DOI: https://doi.org/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

So Eun Jung, MD, Soo Hun Cho, MD, Seon Young Park, MD, Mi Kyung Koo, MD, Yoon Young Lee, MD

Department of Obstetrics and Gynecology, Queensmedi Hospital, Seoul, Korea.

Corresponding author: Mi Kyung Koo, MD. Department of Obstetrics and Gynecology, Queensmedi Hospital, 398-23 Gongneung-dong, Nowon-gu, Seoul 139-803, Korea. Tel: +82-2-948-7588, Fax: +82-2-948-7511, sonny42@hanmail.net

Received 9 March 2011       Revised 23 April 2011       Accepted 16 May 2011

Copyright © 2011. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Umbilical cord prolapse, Emergent cesarean section, Prolonged fetal deceleration, Propofol

Figures and Tables

Fig. 1
At 41 weeks of gestation, fetal monitoring showed prolonged deceleration after occurring umbilical cord prolapse.
kjog-54-300-g001

References

1. Bloom SL, Leveno KJ, Spong CY, Gilbert S, Hauth JC, Landon MB, et al. Decision-to-incision times and maternal and infant outcomes. Obstet Gynecol. 2006. 108:6–11.
2. Mesleh R, Sultan M, Sabagh T, Algwiser A. Umbilical cord prolapse. J Obstet Gynecol. 1993. 13:24–28.
3. Yla-Outinen A, Heinonen PK, Tuimala R. Predisposing and risk factors of umbilical cord prolapse. Acta Obstet Gynecol Scand. 1985. 64:567–570.
4. Murphy DJ, MacKenzie IZ. The mortality and morbidity associated with umbilical cord prolapse. Br J Obstet Gynaecol. 1995. 102:826–830.
5. Levy H, Meier PR, Makowski EL. Umbilical cord prolapse. Obstet Gynecol. 1984. 64:499–502.
6. Bock JE, Wiese J. Prolapse of the umbilical cord. Acta Obstet Gynecol Scand. 1972. 51:303–308.
7. Alouini S, Mesnard L, Megier P, Lemaire B, Coly S, Desroches A. Management of umbilical cord prolapse and neonatal outcomes. J Gynecol Obstet Biol Reprod (Paris). 2010. 39:471–477.
8. Prabulos AM, Philipson EH. Umbilical cord prolapse. Is the time from diagnosis to delivery critical? J Reprod Med. 1998. 43:129–132.
9. Bythell V. Cord prolapse demands general anaesthesia. Int J Obstet Anesth. 2003. 12:287–289.
10. Scrutton M. Cord prolapse demands general anaesthesia. Int J Obstet Anesth. 2003. 12:290–292.
11. CESDI. Obstetric anaesthesia delays and complications. Confidential Enquiry Into Stillbirths and Deaths in Infancy, 7th annual report. 2000. London: Maternal and Child Health Research Consortium;41–52.
12. MacKenzie IZ, Cooke I. What is a reasonable time from decision-to-delivery by caesarean section? Evidence from 415 deliveries. BJOG. 2002. 109:498–504.
13. Wong JM. Propofol infusion syndrome. Am J Ther. 2010. 17:487–491.
14. Valtonen M, Kanto J, Rosenberg P. Comparison of propofol and thiopentone for induction of anaesthesia for elective caesarean section. Anaesthesia. 1989. 44:758–762.
15. Sanchez-Alcaraz A, Quintana MB, Laguarda M. Placental transfer and neonatal effects of propofol in caesarean section. J Clin Pharm Ther. 1998. 23:19–23.
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