Abstract
Two cases of prolapse of the amniotic sac through a partially dilated cervix, the so-called "hourglass membranes," are presented. In both cases, ultrasonography revealed the umbilical cord in the prolapsed sac. Both fetuses were grossly immature, and efforts were made to delay labor. In neither patient did rupture of the membranes occur. Fetal distress developed in 1 case, necessitating an emergency cesarean section shortly after the initiation of tocolytic therapy. A 27-week, 800-g infant was delivered who subsequently died. The second case resulted in a 3-week delay in the delivery of a viable fetus who did well. It is concluded that when confronted with a very immature fetus, aggressive measures to delay delivery are justified.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
