Dr. Chapa’s Clinical Pearls. The Fetal Somersault Delivery Manever
Oct 16, 2023
Nuchal cords are found in 25-30% of deliveries and can pose challenges during birth. The podcast delves into the fetal somersault delivery maneuver, a safer alternative to the traditional clamp and cut method. This technique preserves vital placental blood transfusion, improving neonatal outcomes. Listeners learn that nuchal cords are generally benign and that effective management can lead to better health for infants. The discussion emphasizes the importance of evidence-based practices in obstetrics.
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Nuchal Cord Management
- For tight nuchal cords during delivery, don't immediately clamp and cut.
- Explore alternative maneuvers like cord reduction or the fetal somersault maneuver.
Nuchal Cord Prevalence and Significance
- Nuchal cords (NCs) are common, occurring in 25-30% of deliveries, and their likelihood increases with gestational age.
- Most NCs are benign and not a cause for concern.
Nuchal Cords and Interventions
- While NCs are generally benign, they can increase the risk of certain interventions.
- NCs don't necessitate early delivery or C-section on their own, but could lead to C-section due to other factors arising intrapartum.