Fetal Cord Entanglement
Conditions
Brief summary
The investigators aim to prove that minimal sonographic training for nuchal cord detection in an unexperienced first year medical resident is more than enough to detect the phenomenon. Patients undergoing elective cesarean section will undergo a routine ultrasound (that is performed to detect the fetal heart rate and the fetal presentation) during which the resident will attempt to detect nuchal cord. The resident will then attend the patient's surgery to verify the findings.
Detailed description
Patients undergoing elective cesarean section will undergo a routine ultrasound examination during which fetal heart rate, fetal presentation and nuchal cord presence will be documented. During surgery, after the fetus is delivered, presence or lack of nuchal cord will be documented. The aim of the study is to show that minimal sonographic training may assist even an unexperienced sonographist in detection of such a subtle yet important phenomenon. The study will be performed utilizing the newest resident in the OBGYN department.
Interventions
DIAGNOSTIC_TESTUltrasound
Pre-operational ultrasound for the detection of fetal heart rate, fetal presentation and presence of nuchal cord.
Sponsors
Rambam Health Care Campus
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 44 Years
Healthy volunteers
No
Inclusion criteria
* Any woman undergoing elective cesarean section.
Exclusion criteria
* None.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Detection rate for nuchal cord. | up to 6 hours from admission for elective surgery. | Detection of nuchal cord in a pre-op ultrasound and verification of the sonographic findings during surgery. |
Countries
Israel
Outcome results
None listed