Show simple item record

dc.contributor.authorWilson, Margaret
dc.contributor.authorLaMonica, Gene
dc.contributor.authorFullilove, Anne
dc.contributor.authorRayburn, William
dc.date.accessioned2008-08-22T18:22:44Z
dc.date.available2008-08-22T18:22:44Z
dc.date.issued2008-08-22T18:22:44Z
dc.identifier.urihttp://hdl.handle.net/1928/6893
dc.description.abstractObjective: To determine the shortest umbilical cord length to permit spontaneous vaginal delivery Methods: This prospective observational study included 166 randomly chosen women, age ≥ 18 years, with no apparent antepartum complications who delivered spontaneously ≥ 37 weeks. The cord was clamped at the maternal introitus immediately at delivery. The cord segment was measured from introitus to placental insertion. We reviewed a recent fetal scan to identify the placental implantation site (fundal or lateral). Results: The mean cord segment from placental insertion to maternal introitus measured to be 22.4 cm (95% confidence interval, 11 to 32 cm). The segment was 2.1 cm longer (95% confidence interval 0.4 to 3.7 cm) when the placenta was implanted at the uterine fundus rather than laterally (p < .01; one-sided t-test). An excessively short cord segment (< 13 cm) was present in two cases (1.2 %) with a lateral placental implantation and no case with a fundal implantation. Conclusion: The uterine axis and birth canal are not so long to prevent a spontaneous vaginal delivery in the presence of a short umbilical cord. Placental location does not impede delivery except perhaps when fundal in the presence of an excessively short cord.en_US
dc.language.isoen_USen_US
dc.subjectShort umbilical corden_US
dc.subjectvaginal deliveryen_US
dc.titleMinimum Cord Length to allow Spontaneous Vaginal Deliveryen_US
dc.typeArticleen_US
dc.data.json{ "@context": { "rdf": "http://www.w3.org/1999/02/22-rdf-syntax-ns#", "rdfs": "http://www.w3.org/2000/01/rdf-schema#", "xsd": "http://www.w3.org/2001/XMLSchema#" }, "@graph": [ { "@id": "http://54.191.234.158/entities/resource/Fullilove_Anne", "@type": "http://schema.org/Person" }, { "@id": "http://54.191.234.158/entities/resource/short-umbilical-cord", "@type": "http://schema.org/Intangible" }, { "@id": "http://54.191.234.158/entities/resource/Rayburn_William", "@type": "http://schema.org/Person" }, { "@id": "http://54.191.234.158/entities/resource/LaMonica_Gene", "@type": "http://schema.org/Person" }, { "@id": "http://wikidata.dbpedia.org/resource/Q6679974", "@type": "http://schema.org/Intangible" }, { "@id": "http://hdl.handle.net/1928/6718", "@type": "http://schema.org/WebSite" }, { "@id": "http://hdl.handle.net/1928/6893", "@type": "http://schema.org/CreativeWork", "http://schema.org/about": [ { "@id": "http://wikidata.dbpedia.org/resource/Q6679974" }, { "@id": "http://54.191.234.158/entities/resource/short-umbilical-cord" } ], "http://schema.org/author": [ { "@id": "http://54.191.234.158/entities/resource/Wilson_Margaret" }, { "@id": "http://54.191.234.158/entities/resource/Fullilove_Anne" }, { "@id": "http://54.191.234.158/entities/resource/LaMonica_Gene" }, { "@id": "http://54.191.234.158/entities/resource/Rayburn_William" } ], "http://schema.org/datePublished": "2008-08-22T18:22:44Z", "http://schema.org/description": "Objective: To determine the shortest umbilical cord length to permit spontaneous vaginal delivery\nMethods: This prospective observational study included 166 randomly chosen women, age \u2265 18 years, with no apparent antepartum complications who delivered spontaneously \u2265 37 weeks. The cord was clamped at the maternal introitus immediately at delivery. The cord segment was measured from introitus to placental insertion. We reviewed a recent fetal scan to identify the placental implantation site (fundal or lateral).\nResults: The mean cord segment from placental insertion to maternal introitus measured to be 22.4 cm (95% confidence interval, 11 to 32 cm). The segment was 2.1 cm longer (95% confidence interval 0.4 to 3.7 cm) when the placenta was implanted at the uterine fundus rather than laterally (p < .01; one-sided t-test). An excessively short cord segment (< 13 cm) was present in two cases (1.2 %) with a lateral placental implantation and no case with a fundal implantation.\nConclusion: The uterine axis and birth canal are not so long to prevent a spontaneous vaginal delivery in the presence of a short umbilical cord. Placental location does not impede delivery except perhaps when fundal in the presence of an excessively short cord.", "http://schema.org/isPartOf": { "@id": "http://hdl.handle.net/1928/6718" }, "http://schema.org/name": "Minimum Cord Length to allow Spontaneous Vaginal Delivery" }, { "@id": "http://54.191.234.158/entities/resource/Wilson_Margaret", "@type": "http://schema.org/Person" } ]}


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record