Artful loop. Obvity umbilical cords of
Watch only began when in an accident ward the persistent call was distributed. The pregnant woman accompanied by the husband and the woman of average years was on the threshold of maternity hospital (the mother-in-law as it became clear at conversation). All of them were very excited... whether
Should be anxious? >
As it was h2, the woman arrived after passing of ultrasonic research in a maternity welfare unit. Without excessive prefaces of Yuli (so called the pregnant woman) told: “I agree to Cesarean section, relatives will bring necessary things now“.“ Wait, wait, let`s understand at first“, - I answered and invited Yulia in viewing. It became clear that pregnancy term at Yulia at the moment makes 36 weeks and on ultrasonography it is revealed obvity umbilical cords around a fruit neck. This fact very much disturbed the pregnant woman and her family therefore they decided to go to maternity hospital immediately.
the Umbilical cord (or umbilical kanatik) is the body which is functioning only during pregnancy and carrying out extremely important function of communication between an organism of mother and a fruit. The main component of an umbilical cord are vessels - one vein on which the arterial blood from mother to a fruit delivering all substances, necessary for activity, and oxygen, and also two arteries on which the blue blood of a fruit removes the fulfilled products of an exchange and carbon dioxide in mother`s organism flows.
Vessels of an umbilical cord are surrounded with special jellylike substance - vartonovy jelly which at the expense of the consistence carries out an important protective role - protects vessels from squeezing. Length of an umbilical cord averages 50 - 60 cm, thickness of 1,5 - 2 cm. If umbilical cord length more than 70 cm, it is considered long if less than 40 cm - short. Increase in length of an umbilical cord can lead to various pathological states, such as obvity an umbilical cord of a neck, trunk, fruit extremities, formation of knots of an umbilical cord which, in turn, share on true and false. It is important to note that about the fifth part of all born children umbilical cords are born with obvitiy, and not always it leads to violations of a pre-natal condition of a fruit. The matter is that, being in a uterus, until childbirth the kid does not breathe lungs therefore squeezing of a neck that always very much frightens future mothers, is not dangerous to it. Problems can arise when there is a violation of a blood-groove from - for tension or squeezings of an umbilical cord in view of repeated or hard an obvitiya.
What showed ultrasonography?to
according to ultrasonic research it is established that the fruit has no symptoms of a hypoxia (i.e. a lack of oxygen), when carrying out a dopplerometriya (research at which blood-groove speed in the main vessels of a uterus and a fruit) violations matochno is defined - placentary blood circulation is not revealed. The fruit corresponds to the term of 36 weeks of pregnancy, there are signs single an umbilical cord obvitiya around a fruit neck. “It is necessary when did me ultrasonography in 32 weeks, nothing about obvity was told“, - Yulya told.“ Quite perhaps, it then was not, and it is not obligatory at all that it will remain before childbirth“, - I answered.
it is valid, cases when they according to ultrasonography found obvity umbilical cords are in practice frequent, and the child was born without it. It can be, in - the first, is connected with the fact that umbilical cord loops on ultrasonography were near a fruit neck, but an obvitiya per se was not, and in - the second, at the movements of a fruit obvity umbilical cords was independently liquidated (of course, it happens, as a rule, at single obvitiya).
the Contributing formation factors an obvitiya an umbilical cord are the increased physical activity of a fruit which can be caused by a pre-natal hypoxia (i.e. a lack of intake of oxygen), abundance of water, increase of adrenaline in mother`s blood owing to stressful influences. It is natural that in most cases to an obvitiya of various parts of a body of a fruit the long umbilical cord brings.we Make to
completely to be convinced that Yulia`s kid feels well we made record of a kardiotokogramma (KTG). At KTG registration of warm activity of a fruit is made that is an informative indicator of its pre-natal state. For this purpose to future mother on a stomach attached the sensor which is connected to the device. Yulya lay on a bed on one side within 30 minutes, and the device wrote down heartbeat of a fruit. No pathological changes at KTG were revealed. Together with Yulia who already calmed down a little and became cheerful we left to the relatives expecting her. I explained to them that in this situation when we have premature pregnancy, absolutely normal pre-natal state of a fruit, only from - for an obvitiya of an umbilical cord is inexpedient to carry out a rodorazresheniye in the emergency order. The calmed pregnant woman with the husband and the mother-in-law went home.
For full definition of a pre-natal condition of a fruit needs to conduct a complex of researches which includes:
- of ultrasonic research at which it is possible to see or suspect obvity an umbilical cord of a neck or other parts of a fruit as it is in certain cases very difficult to distinguish whether there are umbilical cord loops near a neck of a fruit or is available obvity: at this research we have no possibility of the volume image allowing to consider object in all its aspects - for example, to glance back. It should be noted that it is not possible to determine umbilical cord length according to ultrasonography during pregnancy as the umbilical cord “is as if curtailed“ in close space between a little body of the kid and a wall of a uterus;
- a dopplerometriya - the method allowing in - the first, precisely to define whether is available obvity an umbilical cord as the movement of a stream of blood is displayed in color, and in - the second, to diagnose blood-groove speed in various vessels matochno - a placentary complex;
- a kardiotokografiya which allows to define not only the heart rate of the kid, but also his reaction to own stirs (at record KTG during pregnancy) and on increase of a tone of a uterus (at the time of delivery) that allows to learn, how well feels at present a fruit.
If after carrying out all complex of inspections it is determined that the kid feels well, then only the fact an obvitiya an umbilical cord is not the indication for an operational rodorazresheniye. Such indications can arise or at the available signs of oxygen insufficiency (a fruit hypoxia), or at a combination an obvitiya an umbilical cord with other indications to Cesarean section. whether