[Value of vesical filling for umbilical cord prolapse. Description of a 14-case series at the Befelatanana University hospital center maternity unit (Antananarivo, Madagascar)].
Umbilical cord prolapse occurs when the umbilical cord drops through the open cervix into the vagina ahead of the baby, after spontaneous or artificial rupture of the membrane. It is a severe obstetrical emergency that endangers the life of the baby due to compression of the cord. Since the 1980s, bladder filling has been recommended as a simple and effective technique for reducing foetal mortality even if surgery cannot be undertaken immediately. The purpose of this study was to report experience using the bladder filling technique at the Gynaecology-Obstetrics Unit in Befelatanana (Antananarivo University Hospital Center). These results confirm the reliability and effectiveness as previously reported in the literature. Because of its simplicity and efficacy in reducing the risk for the foetus, bladder filling should be taught and used particularly in countries with limited obstetrical facilities.
Randrianantoanina
F
F
Maternité de Befeletanana, faculté de médecine d'Antananarivo, Antananarivo, Madagascar. fenogyn@yahoo.fr
Rakotosalama
D
D
Ravelosoa
E
E
Rakotondramanana
N
N
Breda
Y
Y
Rasolofondraibe
A
A
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008270:Madagascar; D011247:Pregnancy; D011391:Prolapse; D011446:Prospective Studies; D012965:Sodium Chloride / Q000008:administration & dosage*; D014470:Umbilical Cord; D001743:Urinary Bladder
D012965:Sodium Chloride