Guía Perinatal 2015
380 Algoritmo de Manejo del Prolapso de Cordón Pedir ayuda Auscultación LCF
Óbito fetal
Manejo habitual
LCF presentes
Embarazo < 23 semanas
Completa > E+1
Atención parto Eventual fórceps
Embarazo > 24 semanas
Menor progresión que Completa < E+1
Ascenso presentación Sonda Folley Trendelemburg Eventual tocolisis
Cesárea
Referencias 1. Kish K, Collea JV. Malpresentation and cord prolapse. En: OeCherney AH, Nathan L, Goodwin TM, editors. Current obstetric & gynecologic diagnosis & treatment. 10th ed. Toronto: McGraw-Hill; 2007. p.342-58. 2. Belfort M. Images in clinical medicine. Umbilical-cord prolapse at 29 weeks’ gestation. N Engl JMed 2006;354 3. Woo JS, Ngan YS, Ma HK. Prolapse and presentation of the umbilical cord. Aust N Z J Obstet GynaecoI1983;23(3):142-5. 4. Kahana B, Sheiner E, Levy A, et al. Umbilical cord prolapse and perinatal outcomes. Int J Gynaecol Obstet 2004;84(2):127-32. 5. Usta 1M, Mercer BM, Sibai BM. Current obstetrical practice and umbilical cord prolapse. Am J Perinatol 1999; 16(9):479-84. 6. Moses S. LO [Iabour and delivery]. En: Obstetrics notebook [monograph online]. Rev. Lino Lakes (MN): Scott Moses; 2006. 7. Prabulos AM, Philipson EH. Umbilical cord prolapse. Is the time from diagnosis to delivery critical? J Reprod Med 1998;43(2):129-32.