Are obstetric interventions such as cervical ripening, induction of labor, amnioinfusion, or amniotomy associated with umbilical cord prolapse?

Article Abstract:

Obstetrical procedures may not be associated with umbilical cord prolapse. In umbilical cord prolapse, the umbilical cord comes down ahead of the baby and is pinched between the mother's pelvis and the baby's head. Researchers compared 37 laboring women who experienced umbilical cord prolapse with 74 women who did not. Women in both groups were equally likely to have prostaglandin gel to ready the cervix for labor, labor induction, doctors breaking the amniotic sac, or fluid instilled into the uterus to replace amniotic fluid. However, in one-third of cases, the prolapse occurred when doctors ruptured the amniotic sac.

Complications and side effects, Labor, Induced (Obstetrics), Induced labor, Umbilical cord

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Better maternal outcomes are achieved with dexamethasone therapy for postpartum HELLP (hemolysis, elevated liver enzymes, and thrombocytopenia) syndrome

Article Abstract:

Dexamethasone treatment in patients with postpartum HELLP syndrome may result in faster recoveries with decreased rates of complications and need for invasive medical support. HELLP syndrome is a complication of pregnancy consisting of elevated liver enzymes, red blood cell destruction and low blood platelet levels. Forty-three women with postpartum HELLP syndrome treated with dexamethasone were compared to 237 untreated women. Clinical symptoms were dramatically reduced in the treated group, resulting in fewer complications and shorter hospitalizations. Laboratory values also improved with treatment.

Evaluation, Drug therapy, Thrombocytopenia, Dexamethasone, Puerperal disorders

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