Prolapso do cordão umbilical: Relato de caso
Resumo
O prolapso do cordão umbilical é uma emergência obstétrica de baixa incidência, associada a graves complicações perinatais, sendo de extrema preocupação para o profissional de saúde materna, como o obstetra. Apresentamos o caso de uma gestante secundigesta, com antecedente de cesariana prévia e exame de ultrassonografia mostrando dupla circular de cordão umbilical e feto pequeno para a idade gestacional, que apresentou ruptura de membranas durante o trabalho de parto com líquido meconial em aspecto de purê de ervilha, prolapso de cordão umbilical e parto precipitado; obtendo, mediante atenção vaginal, um recém-nascido vivo com APGAR 2-6-8 e evolução favorável tanto materna quanto fetal.
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Referências
Sayed Ahmed WA, Hamdy MA. Optimal management of umbilical cord prolapse. Int J Womens Health. 21 de agosto de 2018;10:459-65.
Gibbons C, O’Herlihy C, Murphy JF. Umbilical cord prolapse--changing patterns and improved outcomes: a retrospective cohort study. BJOG Int J Obstet Gynaecol. diciembre de 2014;121(13):1705-8.
Hasegawa J, Ikeda T, Sekizawa A, Ishiwata I, Kinoshita K, Japan Association of Obstetricians and Gynecologists, Tokyo, Japan. Obstetric risk factors for umbilical cord prolapse: a nationwide population-based study in Japan. Arch Gynecol Obstet. septiembre de 2016;294(3):467-72.
Boushra M, Stone A, Rathbun KM. Umbilical Cord Prolapse [Internet]. StatPearls [Internet]. StatPearls Publishing; 2020 [citado 30 de marzo de 2021]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK542241/
Behbehani S, Patenaude V, Abenhaim HA. Maternal Risk Factors and Outcomes of Umbilical Cord Prolapse: A Population-Based Study. J Obstet Gynaecol Can JOGC J Obstet Gynecol Can JOGC. enero de 2016;38(1):23-8.
Holbrook BD, Phelan ST. Umbilical cord prolapse. Obstet Gynecol Clin North Am. marzo de 2013;40(1):1-14.
Gabbay-Benziv R, Maman M, Wiznitzer A, Linder N, Yogev Y. Umbilical cord prolapse during delivery - risk factors and pregnancy outcome: a single center experience. J Matern-Fetal Neonatal Med Off J Eur Assoc Perinat Med Fed Asia Ocean Perinat Soc Int Soc Perinat Obstet. enero de 2014;27(1):14-7.
Martínez J, Gálvez A. Resultados perinatales tras un prolapso de cordón mantenido. Rev peru ginecol obstet. 2014;60(1):75-8.
Royal College of Obstetricians and Gynecologists. Umbilical Cord Prolapse: Green-top Guideline No. 50. RCOG; 2014.
Wasswa EW, Nakubulwa S, Mutyaba T. Fetal demise and associated factors following umbilical cord prolapse in Mulago hospital, Uganda: a retrospective study. Reprod Health. 1 de febrero de 2014;11:12.
Gibbons C, O’Herlihy C, Murphy JF. Umbilical cord prolapse--changing patterns and improved outcomes: a retrospective cohort study. BJOG Int J Obstet Gynaecol. diciembre de 2014;121(13):1705-8.
Hasegawa J, Ikeda T, Sekizawa A, Ishiwata I, Kinoshita K, Japan Association of Obstetricians and Gynecologists, Tokyo, Japan. Obstetric risk factors for umbilical cord prolapse: a nationwide population-based study in Japan. Arch Gynecol Obstet. septiembre de 2016;294(3):467-72.
Boushra M, Stone A, Rathbun KM. Umbilical Cord Prolapse [Internet]. StatPearls [Internet]. StatPearls Publishing; 2020 [citado 30 de marzo de 2021]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK542241/
Behbehani S, Patenaude V, Abenhaim HA. Maternal Risk Factors and Outcomes of Umbilical Cord Prolapse: A Population-Based Study. J Obstet Gynaecol Can JOGC J Obstet Gynecol Can JOGC. enero de 2016;38(1):23-8.
Holbrook BD, Phelan ST. Umbilical cord prolapse. Obstet Gynecol Clin North Am. marzo de 2013;40(1):1-14.
Gabbay-Benziv R, Maman M, Wiznitzer A, Linder N, Yogev Y. Umbilical cord prolapse during delivery - risk factors and pregnancy outcome: a single center experience. J Matern-Fetal Neonatal Med Off J Eur Assoc Perinat Med Fed Asia Ocean Perinat Soc Int Soc Perinat Obstet. enero de 2014;27(1):14-7.
Martínez J, Gálvez A. Resultados perinatales tras un prolapso de cordón mantenido. Rev peru ginecol obstet. 2014;60(1):75-8.
Royal College of Obstetricians and Gynecologists. Umbilical Cord Prolapse: Green-top Guideline No. 50. RCOG; 2014.
Wasswa EW, Nakubulwa S, Mutyaba T. Fetal demise and associated factors following umbilical cord prolapse in Mulago hospital, Uganda: a retrospective study. Reprod Health. 1 de febrero de 2014;11:12.
Publicado
2024-09-03
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Relato de caso
