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Sumario patologias del cordon umbilical en el tercer trimestre $2.99
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Sumario patologias del cordon umbilical en el tercer trimestre

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resumen didactico de las patologias de la implantacion del cordon umbilical, con definicion, diagnostico, tratamiento, epidemiologia y pronostico en el binomio

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  • June 19, 2024
  • 4
  • 2023/2024
  • Summary
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AUTOR: JORGE ANDRÉS CASTRO FLORES
PATOLOGIA DE CORDÓN
Frecuente en embarazos múltiples (3-5%) y en diabéticas. Se asocia en un 15-20% de los
casos con MALFORMACIONES VASCULARES, DIGESTIVAS Y GENITOURINARIAS

ARTERIA
UMBILICAL
UNICA



INSERCIÓN DEL CORDÓN EN LA BOLSA
AMNIÓTICA SOBRETODO EN MENOS DE
2 CM DEL OCI (INSERCIÓN
VELAMENTOSA), de manera que los
vasos umbilicales cruzan por delante de la
presentación de forma anómala, para
después introducirse en placenta.
VASA PREVIA
US ENDOVAGINAL DE ELECCION
HEMORRAGIA POSTERIOR DE LA
AMNIORREXIS + SUFRIMIENTO
FETAL

MORTALIDAD FETAL DE 70 A 80% TX. CESAREA URGENTE!!!
SE RECOMIENDA CONFIRMAR LA PERSISTENCIA DE VASA PREVIA POR US EN 30-34SDG

ANOMALIAS DE LONGITUD NORMAL: 45 a 60 CENTÍMETROS
LONGITUD CORDÓN LARGO >65cm FAVORECE A CIRCULAR O NUDOS DE CORDÓN.
Son MÁS FRECUENTES ALREDEDOR DEL
CUELLO. Ocurren en el 15% de los partos
y se asocian con las circunstancias que
favorecen la movilidad fetal
CIRCULARES DE (polihidramnios, fetos pequeños,
CORDÓN multiparidad, cordón largo).
Pueden DIAGNOSTICARSE INTRAÚTERO
POR ULTRASONIDO
OCASIONALMENTE CAUSA
SUFRIMIENTO FETAL


REQUIERE TERMINACIÓN INMEDIATA
PROLAPSO DE MEDIANTE CESÁREA, salvo si el FETO
CORDÓN ESTÁ MUERTO SERÁ POR VIA VAGINAL

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