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Fetal Anaemia following preterm en caul delivery with velamentous cord insertion

Introduction: En caul delivery is defined as delivery of fetus in the sac with fully intact membrane. It was recommended in preterm in estimated fetal weight < 1,500 gram during Caesarean section to reduce risk of fetal injury caused by 'hug-me-tight' uterine contraction and surgeon ha...

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Main Authors: Mohd Nor, Nurul Yaqin, Ismail, Hamizah, Ismail, Nurul Jannah
Format: Article
Language:English
Published: Malaysian Medical Association 2021
Subjects:
RG Gynecology and obstetrics
Online Access:http://irep.iium.edu.my/98402/1/98402_Fetal%20Anaemia%20following%20preterm%20en%20caul%20delivery.pdf
http://irep.iium.edu.my/98402/
http://www.e-mjm.org/2021/v76s3/A-91-92.pdf
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spelling my.iium.irep.984022022-06-24T06:54:57Z http://irep.iium.edu.my/98402/ Fetal Anaemia following preterm en caul delivery with velamentous cord insertion Mohd Nor, Nurul Yaqin Ismail, Hamizah Ismail, Nurul Jannah RG Gynecology and obstetrics Introduction: En caul delivery is defined as delivery of fetus in the sac with fully intact membrane. It was recommended in preterm in estimated fetal weight < 1,500 gram during Caesarean section to reduce risk of fetal injury caused by 'hug-me-tight' uterine contraction and surgeon hands. However, in some cases en caul can be dangerous due to fetal hemorrhage. Objectives : This case series describes our experience in IIUM performing en caul delivery in preterm birth and its immediate sequelae with regards to fetal anemia and birth trauma. Methods: Case Series Results: Two were born with intact membrane and one in partial en caul. One reported to have severe anemia and another two without neonatal anemia. None of the babies had birth trauma Conclusion : En caul delivery can be beneficial in properly selected cases and application of good surgical technique resulting in less birth injury and good fetal outcome. From our experience to make this delivery technique safe and beneficial for extreme preterm fetus, we strongly suggest that the cord insertion need to be identified prior caesarean section, in case of central cord insertion it is safe to deliver en caul. However, if velamentous or abnormally loclized cord insertion was identified, immediate clamping of the cord can reduce the complication of fetal hemorrhage and anemia. Malaysian Medical Association 2021-07-23 Article PeerReviewed application/pdf en http://irep.iium.edu.my/98402/1/98402_Fetal%20Anaemia%20following%20preterm%20en%20caul%20delivery.pdf Mohd Nor, Nurul Yaqin and Ismail, Hamizah and Ismail, Nurul Jannah (2021) Fetal Anaemia following preterm en caul delivery with velamentous cord insertion. The Medical Journal of Malaysia, 76 (Supplement: 3). p. 40. ISSN 0300-5283 http://www.e-mjm.org/2021/v76s3/A-91-92.pdf
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
topic RG Gynecology and obstetrics
spellingShingle RG Gynecology and obstetrics
Mohd Nor, Nurul Yaqin
Ismail, Hamizah
Ismail, Nurul Jannah
Fetal Anaemia following preterm en caul delivery with velamentous cord insertion
description Introduction: En caul delivery is defined as delivery of fetus in the sac with fully intact membrane. It was recommended in preterm in estimated fetal weight < 1,500 gram during Caesarean section to reduce risk of fetal injury caused by 'hug-me-tight' uterine contraction and surgeon hands. However, in some cases en caul can be dangerous due to fetal hemorrhage. Objectives : This case series describes our experience in IIUM performing en caul delivery in preterm birth and its immediate sequelae with regards to fetal anemia and birth trauma. Methods: Case Series Results: Two were born with intact membrane and one in partial en caul. One reported to have severe anemia and another two without neonatal anemia. None of the babies had birth trauma Conclusion : En caul delivery can be beneficial in properly selected cases and application of good surgical technique resulting in less birth injury and good fetal outcome. From our experience to make this delivery technique safe and beneficial for extreme preterm fetus, we strongly suggest that the cord insertion need to be identified prior caesarean section, in case of central cord insertion it is safe to deliver en caul. However, if velamentous or abnormally loclized cord insertion was identified, immediate clamping of the cord can reduce the complication of fetal hemorrhage and anemia.
format Article
author Mohd Nor, Nurul Yaqin
Ismail, Hamizah
Ismail, Nurul Jannah
author_facet Mohd Nor, Nurul Yaqin
Ismail, Hamizah
Ismail, Nurul Jannah
author_sort Mohd Nor, Nurul Yaqin
title Fetal Anaemia following preterm en caul delivery with velamentous cord insertion
title_short Fetal Anaemia following preterm en caul delivery with velamentous cord insertion
title_full Fetal Anaemia following preterm en caul delivery with velamentous cord insertion
title_fullStr Fetal Anaemia following preterm en caul delivery with velamentous cord insertion
title_full_unstemmed Fetal Anaemia following preterm en caul delivery with velamentous cord insertion
title_sort fetal anaemia following preterm en caul delivery with velamentous cord insertion
publisher Malaysian Medical Association
publishDate 2021
url http://irep.iium.edu.my/98402/1/98402_Fetal%20Anaemia%20following%20preterm%20en%20caul%20delivery.pdf
http://irep.iium.edu.my/98402/
http://www.e-mjm.org/2021/v76s3/A-91-92.pdf
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score 13.211869

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