Two Pregnant Women Presenting with Umbilical Cord Prolapse

2003 ◽  
Vol 10 (1) ◽  
pp. 43-46
Author(s):  
CY Hung ◽  
P Ng ◽  
HH Yau ◽  
CW Kam
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Umbilical Cord ◽  
Neonatal Morbidity ◽  
Obstetric Emergency ◽  
Clinical Presentations ◽  
Cord Prolapse ◽  
Umbilical Cord Prolapse

Cord prolapse is an obstetric emergency as delay in management is associated with significantly increased neonatal morbidity and mortality. If the accident occurred outside the hospital, many babies would be dead or severely asphyxiated upon arrival in the hospital. The role of Accident & Emergency (A&E) department is to arrive at this diagnosis promptly and deliver appropriate intervention. Immediate cesarean delivery is the treatment of choice. The clinical presentations of two cases with umbilical cord prolapse presenting to our A&E department within two weeks were described. The pathophysiology, risk factors, diagnosis, management as well as outcome were discussed.

scholarly journals Risk Factors and Outcomes of Umbilical Cord Prolapse: Evaluation of 94 Cases

2018 ◽  
pp. 1
Author(s):  
Mehmet Sukru Budak ◽  
Sedat Akgol
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Pregnant Women ◽  
Perinatal Mortality ◽  
Umbilical Cord ◽  
Breech Presentation ◽  
Time Interval ◽  
Average Birth Weight ◽  
Cord Prolapse ◽  
Umbilical Cord Prolapse

<p><strong>Objective:</strong> The aim of this study was to evaluate the risk factors and outcomes of umbilical cord prolapse</p><p><strong>Study Design:</strong> In this descriptive retrospective study, 94 cases of umbilical cord prolapse between January 2013 and December 2014 in our department were analyzed.</p><p><strong>Results:</strong> 45.166 births occurred in our hospital during the study period, and the prevalence of umbilical cord prolapse was 2.08 (n=94) per 1000 live births, and the perinatal mortality rate was 1.1%. In all pregnant women, the delivery had been performed by emergent caesarean section. The average age, gravida, parity and gestational week of pregnant women were 29.11±6.17, 3.69±2.48, 2.69±2.48 and 37.61±3.17, respectively. Singleton pregnancies were 95.7% (n=90) of all pregnancies and twin pregnancies were 4.3% (n=4). Presentation of the cases were vertex, breech or transverse at 75.5% (n=71), 16% (n=15) and 8.5% (n=8) of all cases respectively. Polyhydramnios complicated 13.8% (n=13) of all cases and average birth weight was 3138.62±759.89 grams. 16% (n=15) of the cases had a birthweight lesser than 2500 gr. 1st and 5th minute APGAR scores were 6.89±2.05 and 8.69±1.39, respectively. The time period between the diagnosis and delivery was demonstrated as 8.24±1.22 minutes.</p><p><strong>Conclusion:</strong> Breech presentation, polyhydramnios, multiple pregnancies and low birth weight are risk factors for umbilical cord prolapse. Shortening the time interval between diagnosis and delivery significantly reduces perinatal mortality. It can be provided at clinics that presenting the appropriate infrastructures for rapid intervention.</p>

Perinatal death associated with umbilical cord prolapse

2017 ◽  
Vol 45 (5) ◽  
Author(s):  
Mark P. Hehir ◽  
Lucia Hartigan ◽  
Rhona Mahony
Keyword(s):  
Cohort Study ◽  
Umbilical Cord ◽  
Retrospective Cohort ◽  
Perinatal Death ◽  
Significant Risk ◽  
Neonatal Encephalopathy ◽  
Maternal Characteristics ◽  
Obstetric Emergency ◽  
Cord Prolapse ◽  
Umbilical Cord Prolapse

AbstractObjective:Umbilical cord prolapse occurs when the cord prolapses ahead of or alongside the presenting part. It is an acute obstetric emergency with potential catastrophic effects. We set out to assess incidence of cord prolapse, as well as rates and characteristics of perinatal death associated with the condition.Study design:This was a retrospective cohort study. All recorded cases of cord prolapse were included, and rates of perinatal death and encephalopathy, as well as intrapartum and maternal characteristics were examined.Results:There were 156,130 deliveries at the hospital over the 20-year study period. Three hundred and seven cases of cord prolapse were identified (1.9/1000 deliveries). There was a decrease in the incidence of cord prolapse over the course of the study. The rate peaked in 1999 at 3.9/1000 and was just 0.8/1000 of all deliveries in 2007. The majority of cases (216/307, 70%) occurred in multiparas; however, nulliparous parturients were more likely to have a perinatal death [12% (11/91) vs. 4.6% (10/216)]. The rate of perinatal death in cases of cord prolapse was 6.8% (21/307). Over half of perinatal deaths (11/21) occurred in infants of mothers who presented with ruptured membranes, seven of these infants were already dead on reaching hospital. There was just one case of neonatal encephalopathy associated with cord prolapse, giving an incidence of 0.32%.Conclusion:Cord prolapse carries a significant risk of perinatal death, approximately 7%. The corresponding rate of encephalopathy is low. A significant number of deaths were diagnosed on presentation to hospital and were not deemed preventable.

Clinical risk factors for poor neonatal outcomes in umbilical cord prolapse

2015 ◽  
Vol 29 (10) ◽  
pp. 1652-1656 ◽  
Author(s):  
Junichi Hasegawa ◽  
Akihiko Sekizawa ◽  
Tomoaki Ikeda ◽  
Mitsuhiko Koresawa ◽  
Isamu Ishiwata ◽  
...  
Keyword(s):  
Risk Factors ◽  
Umbilical Cord ◽  
Neonatal Outcomes ◽  
Clinical Risk Factors ◽  
Clinical Risk ◽  
Cord Prolapse ◽  
Umbilical Cord Prolapse

Risk factors and infant outcomes associated with umbilical cord prolapse

2002 ◽  
Vol 78 (2) ◽  
pp. 127-130 ◽  
Author(s):  
D Uygur ◽  
S Kiş ◽  
R Tuncer ◽  
F.S Özcan ◽  
S Erkaya
Keyword(s):  
Risk Factors ◽  
Umbilical Cord ◽  
Infant Outcomes ◽  
Cord Prolapse ◽  
Umbilical Cord Prolapse

scholarly journals Risk Factors, Maternal and Neonatal Outcome in Umbilical Cord Prolapse in South Indian Population

2017 ◽  
Vol 9 (4) ◽  
pp. 323-326
Author(s):  
Madhusmita Hembram ◽  
Haritha Sagili
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Umbilical Cord ◽  
Indian Population ◽  
Neonatal Outcome ◽  
South Indian Population ◽  
South Indian ◽  
Cord Prolapse ◽  
Traditional Risk Factors ◽  
Umbilical Cord Prolapse

ABSTRACT Objective To assess associated risk factors, maternal and neonatal outcome of pregnancies complicated by umbilical cord prolapse in South Indian population. Study design It was a descriptive study. Risk factors, maternal and neonatal outcome were noted down retrospectively from case records of mothers affected by umbilical cord prolapse from April 2014 to March 2016. Results There were 39 cases of umbilical cord prolapse in 2 years. The incidence of umbilical cord prolapse in our hospital was 0.1%. Most of the women were ≤ 25 years of age (72%). Primis were 56%. Most common presentation in umbilical cord prolapse was cephalic presentation (64%). Among the affected individuals, 82% had term gestation, 79% had higher presenting part, and 87% had spontaneous rupture of membranes. Babies were delivered by lower segment cesarean section (LSCS) in 95% and birth weight was ≥2.5 kg in 67% of cases with umbilical cord prolapse. Decision to delivery interval (DDI) was ≤30 minutes in 84% of cases. APGAR score was ≥7 at 1 minute in 65% and ≥7 at 5 minutes in 83% of cases. There were 15 neonatal intensive care unit (NICU) admissions and 2 stillbirths. Most common gender was male (75%). Conclusion In our study, maternal risk factors were different from traditional risk factors in relation to age, parity, period of gestation, presentation, and birth weight. But, station of presenting part, early dilatation of cervix at diagnosis, and male gender predominance were similar to traditional risk factors. Neonatal outcome was good in our study with no birth injuries. All cases should be monitored properly to reduce the occurrence of umbilical cord prolapse even in low-risk population. Early detection and intervention is required for good neonatal outcome. Umbilical cord prolapse should be managed by an expert obstetrician. How to cite this article Hembram M, Sagili H. Risk Factors, Maternal and Neonatal Outcome in Umbilical Cord Prolapse in South Indian Population. J South Asian Feder Obst Gynae 2017;9(4):323-326.

Obstetric risk factors for umbilical cord prolapse: a nationwide population-based study in Japan

2015 ◽  
Vol 294 (3) ◽  
pp. 467-472 ◽  
Author(s):  
Junichi Hasegawa ◽  
◽  
Tomoaki Ikeda ◽  
Akihiko Sekizawa ◽  
Isamu Ishiwata ◽  
...  
Keyword(s):  
Risk Factors ◽  
Umbilical Cord ◽  
Population Based ◽  
Population Based Study ◽  
Cord Prolapse ◽  
Umbilical Cord Prolapse
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