Prolapsed cord
af Catherine Wongtin Khorsuk
1. ภาวะที่สายสะดือลงมาอยู่ข้าง ๆ หรืออยู่ต่ำกว่าส่วนนำของทารกในครุรภ์
2. Forceps, V/E extraction
2.1. Forceps, V/E extraction
3. Polyhydramnios
4. สายสะดือยาวกว่าปกติ
5. Birth asphyxia
6. Maternal hypotension
7. Obligue
8. Cerebral palsy
9. Amniotomy
10. Vaginal cord seen
11. Trendelenburg, knee-chest, Sim's position
12. Physical examination(PV)
13. Color doppler ultrasound
14. Delivery consideration
14.1. Abnormal FHR
14.2. C/S
15. Perinatal mortality
16. Maternal
17. Fetal distress
18. Medical procedure
19. Forelying cord/Funic presentation
20. Multiparity
21. Complication
21.1. Oxygenation 100%
22. Occult prolapsed cord
23. Abnormal pelvis
24. Incident
24.1. 0.1-1%
25. Risk factor
26. Diagnosis
27. Nursing diagnosis
28. ข
29. Abruptio placenta
29.1. Fetus
29.1.1. Abnormal presentation
29.1.1.1. SGA
29.1.1.2. TWINS
30. Position
31. Management/Nursing care
31.1. Moisturizer of cord
31.1.1. funic decompression(ดันส่วนนำทารก)
31.1.2. Full bladder 500-700 ml.
32. transverse
33. Classification
33.1. Differentiate diagnosis
33.1.1. Uterine abruption
33.1.2. Vasa previa