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Umbilical Cord Prolapse - An Overview
During birth, the mother delivers the baby head first, which is followed by the umbilical cord and then the placenta. However, not all births happen in the same order. Sometimes, situations may arise when the position of the baby is inverted or when the baby doesn’t deliver first. One of these conditions is an umbilical cord prolapse which can put the baby in a lot of distress.
What Is An Umbilical Cord Prolapse?
An umbilical cord prolapse takes place when the umbilical cord of the baby is pushed out of the cervix before the baby’s head does, as opposed to the usual order of delivery. This causes the baby to push against the cord on the way out blocking the flow of oxygen and blood, resulting in a critical condition for the baby. It is vital that the baby is delivered quickly to prevent any mishap in such cases.
Overt umbilical cord prolapse is when the cord pushes out ahead of the baby and occult umbilical cord prolapse is when the cord slides alongside the baby. Both cause the cord to get blocked posing complications to the baby.
How Common Is It?
Umbilical cord prolapse occurs approximately in one out of every 300 births. However, the mortality rate due to the condition has gone down considerably due to the feasibility of Caesarean delivery options and due to advancement in neonatal care and resuscitation.
Causes
There may be several causes for the condition. Some of the reasons of prolapsed umbilical cord are,
Premature Rupture Of the Membranes (PROM): If the membranes rupture too early, or in case the membrane is artificially ruptured by the doctor, then due to the baby’s head being high up in the uterus, the cord may go through the cervix first. As the baby follows, the umbilical cord tends to get compressed.
Delivering multiple babies: If a mother is having twins or more, the baby that deliver first may push out the umbilical cord.
Excessive amniotic fluid: If the mother has a lot of amniotic fluid, which is a condition known as polyhydramnios, the pressure of the fluid rushing out may push the umbilical cord out.
Breech in the position: If there is a breech in the position of the baby, the baby may come feet first, which may provide enough leeway for the umbilical cord to slide through the birth canal.
Abnormally long umbilical cords may also pose the threat of a prolapse.
Premature delivery: The smaller size of the foetus paired with added volume of amniotic fluid can cause the cord to slip out.
Symptoms
A few pronounced signs of umbilical cord prolapse include,
Visible umbilical cord during delivery or the doctor feeling the cord during delivery.
Foetal distress due to lack of oxygen
Decrease in the foetal heart rate for a long duration
Diagnosis
Following are the common methods of diagnosing an umbilical cord prolapsed
An overt umbilical cord prolapse, in which the cord is usually visible past the vagina during the time of delivery, is done through a vaginal examination.
Occult umbilical cord prolapse, where the cord is being pushed out with the baby simultaneously, is hard to diagnose. However, a Doppler ultrasound imaging is used. This may further delay the delivery posing a risk to the baby. Foetal heart rate deceleration is taking into consideration, and a C-section delivery is performed instead. Occult umbilical cord prolapse is also responsible for foetal bradycardia cases that appear to have no explanation.
Risks of Cord Prolapse
The risks of umbilical cord prolapse to the baby are,
Lack of oxygen supply to the brain resulting in brain damage and conditions like cerebral palsy.
Bradycardia or abnormally slow heart rate and functioning.
Tangled cord around the baby resulting in delivery complications that can be fatal.
Risk factors
There are many risk factors that cause complications of cord prolapse during delivery. Few of them are
Malpresentation or the abnormal positioning of the baby
Funic presentation where the umbilical cord is pointing towards the lower uterine segment or the internal cervical opening.
Foetal anomalies or abnormality in the development of the foetus.
Cord abnormalities when the cord is too long
Foetal growth restriction where the foetus is premature or too small for its age
Polyhydramnios where there is excess fluid in the amniotic sac.
Artificial ROM or when the medical practitioner ruptures the membrane intentionally
Amnioinfusion where amniotic fluid is instilled into the amniotic sac to prevent deceleration of fetal heart rate, especially due to oligohydramnios.
Treatment and Management
Umbilical cord prolapse puts the baby at immediate risk and these are methods followed as remedies for umbilical cord prolapse.
Rapid delivery
Emergency C-section delivery
Providing oxygen to the mother
Changing the mother’s position
Providing the mother medications to slow contractions
In case the compression of the cord is due to low levels of amniotic fluid, an amnioinfusion is conducted.
Prevention
To lower the risk of prolapsed umbilical cord nursing interventions that may act as risk, the following factors need to be avoided:
Rupturing the membrane intentionally or accidental rupture due to cervical checks.
Getting the water broken
If circumstances demand inducing labour, then discuss with your medical practitioner about any risks involved with the induction methods. Opt for C-section for safer alternatives.
If you have any condition like polyhydramnios, prepare in advance for any risks during delivery.
Umbilical cord prolapse could be dangerous for the baby if timely intervention doesn’t take place. Before delivery, discuss with your doctor well in advance about the course of action in case such complications arise.
Also read: New-born Umbilical Cord Care - Everything Parents Need To Know
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Yoga Exercises to Boost your Immune System
Improve your body's immunity against diseases by giving a boost to your immune system. Explore the world of yoga to learn about the many benefits it can offer you in leading a healthier, happier life. Read on to get the lowdown on a few yogasanas that would help you improve your body's immunity and get started on your way to good health! Best part? You don't need fancy gym equipment or expensive sports gear - find yourself a yoga mat and you're ready!
It's pretty much a given that you need to have a healthy immune system to lead a healthy life. A lot of factors pose a threat to your body including pollution, stress, and an improper diet. But wait - how to improve immune system by yoga, then? Well, you can boost your body's defense mechanism by incorporating yoga into your life to strengthen your immune system. There are a number of yoga postures that improve immunity by flushing out toxins and by helping vital organs perform seamlessly. Go through our list of yogasanas that will help you build a strong immune system with some simple steps to get you started.
Yoga Poses to Boost Immune System
While most of us take up yoga because it helps in weight loss, did you know that certain yoga exercises can boost your immune system too? Given below are a few yoga postures for better immunity.
1. Bhujangasana (Cobra Pose):
Bhujangasana aids your digestive system and cleanses your body of toxins, which makes it one of the best poses of yoga for immunity power. It also boosts your lung capacity and helps them function better.
Lie face down on a yoga mat.
Stretch your legs, while keeping your heels together
Place your hands palms down near your chest.
Breathe in and stretch backwards and upwards up to your navel.
Hold your breath and count to ten.
Exhale and return slowly to your original position.
2. Dhanurasana (Bow Pose):
Dhanurasana is extremely beneficial in improving blood circulation and in maintaining a healthy white blood cell count - this in turn ensures your immunity stays high. It is also one of the best restorative yoga poses that helps maintain your overall fitness levels.
Lie face down on a yoga mat with hands on your side and legs stretched out.
Bend your knees to bring your feet close to your buttocks.
Breathe in and hold your ankles by stretching backwards.
Push up your head and chest.
Stretch backwards - but do this carefully, so you don't exert your back.
Hold your breath and count to 10.
Breathe out and return to your original position.
3. Sethu Bhandasana (Bridge Pose):
This yoga pose to boost the immune system, concentrates on your thymus and stimulates it; which in turn improves your body's mechanism to combat infections. It can also improve your blood circulation and strengthen the lungs.
Lie on your back with your hands on your sides.
Bend your knees to place them at 90 degrees to the mat and keep the soles of your feet pressed firmly on your mat.
Breathing in, push up your pelvis and chest and balance yourself with support from your hands and feet.
Hold your breath and count to 10.Sethu
Exhale, relax and return to your original posture.
4. Ardhachakrasana (Half-wheel Pose):
This yoga exercise improves the working of your thyroid and pituitary glands, which boost your energy levels while helping your muscles relax. It is always recommended when you're starting with a regime of yoga for immune system.
Lie down on your back facing the ceiling.
Keep your heels parallel on a wall with feet hip width apart. Balance your body using your head and heels and push your body upwards.
Breathe in and count up to 10.
Exhale and slowly return to your original pose.
Over time, yoga has gained popularity the wrld over and proved to be extremely beneficial in fighting diseases and in improving the overall health of regular practicioners. Train yourself with these basic yoga poses for your immune system to improve your body's disease fighting mechanism, and to stay healthy and fit naturally. Read more
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Gazpacho with Zucchini, Garlic and Turmeric
This gazpacho is creamy and silky, without any cream. Little butter or olive oil and coconut milk do this magic. Fresh or mature zucchinis can be used for making this soup. In case, you are using a mature one, don't forget to peel the zucchini for a sweeter soup.
Serves
Preparation Time
Cooking Time
4 People
15 Minutes
10 Minutes
Ingredients
5-6 zucchini, trimmed and chopped
3 1/2 cups animal (beef, chicken or veggie) stock
1/2 cup organic coconut milk
1 cup chopped onions
1 tsp (teaspoon) minced garlic
1 tbsp (tablespoon) coconut oil
1 tsp apple cider vinegar
2 tsp curry or turmeric powder
1/2 tsp pink salt
Pinch of black pepper
Pinch of cayenne pepper
Chopped cilantro for garnishing
Method
Step 1
In a medium pot, heat olive oil over medium to high heat.
Step 2
Add the onions and garlic and saute until soft, roughly takes about 3 minutes.
Step 3
Add the curry and/or turmeric powder, salt, and cayenne pepper. Stir and cook until fragrant, about 30 seconds.
Step 4
Add the zucchini and on medium heat, cook with occasional stirring, until soft, 5 to 6 minutes.
Step 5
Add vegetable stock and allow it to boil.
Step 6
On low flame simmer until the zucchini is very tender, about 20 minutes. Turn off the flame.
Step 7
In a food processor or with a hand-held immersion blender, puree the soup. You may need to do it in batches, if using a processor.
Step 8
Return to medium heat and pour in the coconut milk; stir.
Step 9
Simmer for 3 minutes. Adjust the seasoning, to taste.
Step 10
Serve garnished with the cilantro if preferred hot.
Step 11
If serving cold, simply refrigerate for 4-6 hours, until well chilled.
Nutritional Information
Serving Size 175.2 g
Calories
44
Calories from Fat
4
Total Fat
0.4g1%
Saturated Fat
0.1g1%
Sodium
68mg3%
Potassium
421mg12%
Total Carbohydrates
9.6g3%
Dietary Fiber
2.1g8%
Sugars
4.8g
Protein
2.1g
Vitamin A
18%
Vitamin C
71%
Calcium
3%
Iron
4%
* Based on a 2000 calorie diet.
Nutritional details are an estimate and should only be used as a guide for approximation.
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Dr Priyanka Kalra has added a new answer
Trying To Conceive
14 hours ago
Q. I am having pcod problem.
At which day should I take pregnancy test
Dr Priyanka Kalra
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12 hours ago
A. after 2 weeks. do ultrasound n necessary tests after consulting a specialist. without proper check up we can't advise or help you.. Avoid shirt cuts when it comes to health if mother n baby. ok.
Dr Laxmi Chavan-Sawant has added a new answer
Trying To Conceive
14 hours ago
Q. I am having pcod problem.
when should I take pregnancy test?
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A. after missed your periods you can wait for one week more ,then you can do a urine pregnancy test to know about the pregnancy result and consult with your doctor according to the result for medication
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Q. I am having pcod problem.
but having regular cycles below 35 days. some time it will extended upto 40 days.
so when should I take pregnancy test at home?
Dr Laxmi Chavan-Sawant
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A. If you have missed your periods you can wait for one week more or else you can do a urine pregnancy test to know about the pregnancy result and consult with your doctor according to the result for medication.
The best treatment to have Regular periods is by having a healthy lifestyle with regular daily walking or jogging along with mild exercise and meditation whenever possible. as medications will only act till you are taking them
Dr Ghouse has added a new answer
Expecting Mom due this month
11 hours ago
Q. Done my first routine blood test ..it shows thyroid border line.its my 6 week running as per USG.
but prior to that my thyroid level was always normal I did check up every year and got it normal .this time it shows borderline high in 6 week pregnancy.
is it something to worry.plz guide
Read moreDr Ghouse
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10 hours ago
A. it is better to follow your doctors advice for treating the thyroid deficiency. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Rashmi has added a new answer
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Q. #asktheexperts
Best activity toys for 15 month old baby
Rashmi
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A. Toys which have light and also sounds so that is going to be a good option for you to use apart from the different kids have different interest some kids like to play with cars some like to play with something else so just have to try to figure out what your child likes to eat just check what your child is more inclined towards
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Q. how to gain weight 32weeks
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