Abstract: Cord (funic) presentation, the forerunner of overt cord prolapse, exists if the umbilical cord floats in front of the presenting part when intact membranes are present. The diagnosis of this condition by vaginal examination can be missed easily, especially in the presence of “hourglass” membranes
TL;DR: This article describes the first case in the obstetric literature of funic presentation diagnosed with color Doppler sonography, and the potential complications associated with cord prolapse were avoided with a cesarean section.
Abstract: Color Doppler sonography offers the opportunity to evaluate the umbilical cord and to study blood velocity wave forms within the cord. Funic (cord) presentation can be diagnosed unequivocally with color Doppler sonography. Because funic presentation is likely to be the harbinger of cord prolapse, the morbidity and mortality associated with cord prolapse can be prevented if funic presentation is diagnosed before membrane rupture. This article describes the first case in the obstetric literature of funic presentation diagnosed with color Doppler sonography. The potential complications associated with cord prolapse were avoided with a cesarean section.
TL;DR: At 37 weeks of gestation, an ultrasound scan confirmed a transverse lie, suspected on clinical palpation in a 35 year old woman with two previous uncomplicated pregnancies, and labour was induced using oxytocin, giving birth to a healthy female infant six hours later.
TL;DR: The wide-spread use of external cephalic version calls for increased surveillance for adverse sequelae and at the completion of ECV, ultrasound analysis, pelvic examination and fetal heart rate monitoring are appropriate to exclude serious cord complications.
Abstract: BACKGROUND: Breech presentation is associated with increased risk. External cephalic version (ECV) has been successful in decreasing the incidence of intrapartum breech presentation. CASE: Funic presentation occurred as a complication of successful ECV. CONCLUSION: The widespread use of version calls for increased surveillance for adverse sequelae. At the completion of ECV, ultrasound analysis, pelvic examination and fetal heart rate monitoring are appropriate to exclude serious cord complications.