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5 MINUTES OF LIGHTNING-FAST EMERGENCY MANAGEMENT FOR A PREGNANT WOMAN WITH UMBILICAL CORD PROLAPSE

5 MINUTES OF LIGHTNING-FAST EMERGENCY MANAGEMENT FOR A PREGNANT WOMAN WITH UMBILICAL CORD PROLAPSE

22/02/2025

During the monitoring of labor at AIH, the doctor unexpectedly discovered that patient N.L.A (35 years old) had umbilical cord prolapse. Immediately, the pregnant woman was transferred for an emergency surgery. Within 5 minutes of "racing" against time, the surgery was successful, and the baby was born healthy. 

"Racing" against time to save the mother and fetus

When admitted to the hospital to induce labor, the pregnant woman N.L.A (35 years old) was examined and closely monitored during the normal labor and delivery process by Dr. Vu Van Phi, 1st-degree specialist, Deputy Head of the Obstetrics & Gynecology Department. After the doctor performed an amniotomy, it was unexpectedly discovered that the pregnant woman had a prolapsed umbilical cord in the vagina, with the cervix dilated to 5 cm. The Obstetrics Department immediately activated the emergency alarm procedure to transfer the patient to the operating room. At the same time, the midwife used her hand to push the fetal head and hold the umbilical cord to help avoid the fetal head pressing on the umbilical cord and causing the risk of death. With the smooth coordination of the doctors of the Obstetrics Department, the Pediatrics - Neonatology Department, and the Anesthesiology Department, the team successfully performed a cesarean section within 5 minutes, bringing a little angel into the world healthy, and the mother's health quickly stabilized.

Thanks to the coordination of the entire surgical team, we tried to overcome the pressure of time. Because with every passing minute, the baby's prognosis would decrease and the risk of complications for the mother would increase. When the baby cried, that was the moment the surgical team was extremely happy," shared Dr. Vu Van Phi.   

"In cases of umbilical cord prolapse, if not managed promptly, the baby's mortality rate is very high"

According to Dr. Phi, umbilical cord prolapse is one of the urgent emergency cases in Obstetrics. The umbilical cord's function is to supply oxygen and nutrients to the fetus. When the umbilical cord descends into the cervix and enters the birth canal before the fetus, causing the umbilical cord to be compressed between the pelvic bones or prolapse outside the vagina, leading to the interruption of blood supply to the fetus. If an urgent cesarean section is not performed, the fetus may die within a very short time. And if the surgery is delayed, the fetus may suffer respiratory failure or brain damage due to lack of oxygen.

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In the case of a mother experiencing umbilical cord prolapse during labor, if an urgent Cesarean section is not performed, the fetus may die within a very short time.

Umbilical cord prolapse is a common condition during labor when the cervix is dilated and the amniotic sac has ruptured. The causes can be due to multiparity, abnormal fetal presentation, or polyhydramnios…

Although it is not possible to completely prevent this condition, there are some measures to help minimize the risk and monitor the fetus's condition throughout pregnancy. Pregnant women need to adhere to important prenatal checkup milestones, which help detect early signs of abnormalities. Ultrasound can detect nuchal cord, from which the doctor will provide a reasonable solution. In cases where the amniotic sac ruptures, the pregnant woman needs to go to the hospital immediately so that the doctor can promptly detect and quickly manage if there is umbilical cord prolapse, Dr. Phi shared.  

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Modern operating room OR1, ensuring the highest safety for mother and baby

At the American International Hospital (AIH), the maternity care packages are fully designed, suitable for each stage of pregnancy. Prenatal checkup milestones, ultrasounds, and tests are scheduled specifically and clearly, helping expectant mothers not miss any important checkups. For cases with pregnancy-related medical conditions or high-risk pregnancies, the obstetricians will collaborate with other specialists such as cardiologist, endocrinologist, nutritionist, and pediatrician – neonatologist to develop treatment plans for each case. Timely intervention and close pregnancy management will help effectively control potential complications, protecting the health of the mother and the baby.

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Dr. Vu Van Phi, 1st-degree specialist - Deputy Head of Ob&Gyn Department, experienced in managing complicated births such as twin pregnancies, cases of pregnant women with medical conditions during pregnancy, and common obstetric complications.

The Obstetrics Department at AIH focuses on investing in advanced equipment and modern apparatus, applying the most advanced techniques in monitoring and managing pregnancy. With a team of highly specialized and experienced obstetricians, we are fully capable of managing pregnancy-related illnesses and dangerous obstetric complications, including premature birth. Our doctors are always ready to accompany mothers throughout their entire pregnancy, helping mothers confidently overcome all challenges to give birth healthy and safe.

Furthermore, the Department of Obstetrics, Pediatrics, and Neonatology always maintains close connections to ensure timely intervention and to utilize the “golden hour” to care for premature infants or those experiencing abnormalities immediately after birth. In 100% of births at AIH, doctors and nurses from the Department of Pediatrics and Neonatology are present, responsible for examining and screening the baby from the moment of birth. In cases of premature birth, or if there are illnesses or unusual signs requiring special care, the baby will be immediately transferred to the NICU for doctors to monitor and provide specialized care.

► To register for comprehensive pregnancy care and childbirth at AIH, please contact Hotline (028) 3910 9999 or inbox the fanpage https://m.me/aih.com.vnfor detailed consultation.

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For checkup and consultation at AIH:

☎️ Hotline: (028) 3910 9999 
🌏 Website: www.aih.com.vn 
📍 Address: (Entrance from 199 Nguyen Hoang Street) No.6, Bac Nam 3 Street, An Phu Ward, Thu Duc City, Ho Chi Minh City.
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