Presentation Information

Addressing Umbilical Cord Complications: From Knots to Prolapse

• Speaker: Nichole Wardlaw , DNP, CNM, FACNM
• Presentation Type:
• Duration: 60 Mins
• Credits: 1 ACM CPD, 1 ACNM CEU, 0.1 Midwifery CEU

Abstract:

Umbilical cord complications are significant factors in obstetric and perinatal outcomes, often leading to increased morbidity and mortality rates. These complications include conditions such as nuchal cord, umbilical cord prolapse, true knots, velamentous cord insertion, and single umbilical artery. Each of these conditions can impede the normal blood flow and oxygen delivery to the fetus, resulting in potential fetal distress, growth restrictions, or stillbirth. In this talk we will discuss management strategies for umbilical cord complications typically focus on early detection through routine prenatal ultrasounds and vigilant monitoring during labor and delivery.
For instance, nuchal cords, while often benign, can sometimes necessitate careful intrapartum monitoring or elective cesarean delivery if fetal distress is detected. Umbilical cord prolapse requires immediate medical intervention, usually an emergency cesarean section, to prevent fetal hypoxia. Preventative measures and training for healthcare providers are critical in managing these complications. Effective management protocols, including the timely decision for cesarean sections and interventions like manual reduction or bladder filling for umbilical cord prolapse, have been shown to improve neonatal outcomes. This presentation will allow for a better understanding of the pathophysiology and clinical presentations of these complications to allow for better prenatal counseling and targeted management strategies, ultimately aiming to reduce the risks of adverse perinatal outcomes.