scholarly journals Umbilical Cord Prolapse and Perinatal Outcomes in a Tertiary Hospital in Yenagoa, South-South Nigeria: A 5-Year Review

2021 ◽  
pp. 74-83
Author(s):  
P. C. Oriji ◽  
D. O. Allagoa ◽  
D. C. Briggs ◽  
M. N. Chika ◽  
A. E. Ubom ◽  
...  
Keyword(s):  
Umbilical Cord ◽  
Birth Asphyxia ◽  
Perinatal Outcomes ◽  
Tertiary Hospital ◽  
Morbidity And Mortality ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Cord Prolapse ◽  
Adverse Perinatal Outcomes ◽  
Umbilical Cord Prolapse

Background: Umbilical cord prolapse is an obstetric emergency when the foetus is still alive, and it is associated with high foetal morbidity and mortality. If umbilical cord prolapse occurs outside the hospital, mortality rate can be as high as 44% – 70%, and as low as 3% when it occurs in the hospital. Objective: To determine the incidence of umbilical cord prolapse and the perinatal outcomes associated with it at the Federal Medical Centre, Yenagoa, Bayelsa State, Nigeria over 5 years. Materials and Methods: This retrospective survey was carried out between 1st January, 2016 and 31st December, 2020. Data were retrieved, entered into a pre-designed proforma, and analysed using IBM SPSS version 25.0. Results were presented in frequencies and percentages for categorical variables and mean and standard deviation for continuous variables. Results: Forty-one women had umbilical cord prolapse out of 4,571 deliveries, giving a case incidence rate of 8.9 per 1,000 deliveries. About three-quarters (75.6%) of the women were multiparous. A fifth (21.9%) of the foetuses died in-utero, while 27 (65.9%) babies survived. Five (15.6%) babies had severe birth asphyxia, and died (early neonatal death) in the special care baby unit. Decision-to-delivery interval was ≤ 30 minutes in only 12.5% of patients. Conclusion: Umbilical cord prolapse is associated with significant perinatal morbidity and mortality. Prompt diagnosis and intervention are very key in preventing adverse perinatal outcomes.

Umbilical cord prolapse and perinatal outcomes

2003 ◽  
Vol 84 (2) ◽  
pp. 127-132 ◽  
Author(s):  
B. Kahana ◽  
E. Sheiner ◽  
A. Levy ◽  
S. Lazer ◽  
M. Mazor
Keyword(s):  
Umbilical Cord ◽  
Perinatal Outcomes ◽  
Cord Prolapse ◽  
Umbilical Cord Prolapse

scholarly journals True umbilical cord knots are not always knotty: a case report

2021 ◽  
Vol 7 (10) ◽  
pp. 506
Author(s):  
Akaninyene Eseme Ubom ◽  
Akinyosoye D. Ajiboye ◽  
Akintunde O. Fehintola ◽  
Oluwatoyin Oyenike Fadare ◽  
Ekundayo O. Ayegbusi ◽  
...  
Keyword(s):  
Umbilical Cord ◽  
Incidental Finding ◽  
Rare Event ◽  
Birth Asphyxia ◽  
Perinatal Outcomes ◽  
Healthy Male ◽  
Apgar Scores ◽  
Spontaneous Vaginal Delivery ◽  
Male Baby ◽  
Adverse Perinatal Outcomes

<p class="abstract">A true umbilical cord knot (TUCK) is a rare event, complicating 0.3-1.3% of all pregnancies. Prenatal diagnosis is not usual, as it is mostly discovered at delivery, when the knot is identified. True cord knots are mostly asymptomatic, but can be associated with adverse perinatal outcomes such as birth asphyxia and foetal demise, owing to compression of the umbilical vessels within the knot. This compression, however, is largely dependent on how tightly the knot is formed. We report a 30-year-old booked gravida 2, para 1, with a living child, who had spontaneous vaginal delivery of a healthy male baby at term, with incidental finding of a single loose TUCK at delivery. The umbilical cord was 81 cm long. The baby weighed 3600 g at birth, with 1- and 5-minutes Apgar scores of 9 and 10 respectively, and no adverse perinatal occurrence.</p>

Risk factors and perinatal outcomes associated with umbilical cord prolapse

2006 ◽  
Vol 274 (2) ◽  
pp. 104-107 ◽  
Author(s):  
Berna Dilbaz ◽  
Esmen Ozturkoglu ◽  
Serdar Dilbaz ◽  
Nilgun Ozturk ◽  
A. Akin Sivaslioglu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Umbilical Cord ◽  
Perinatal Outcomes ◽  
Cord Prolapse ◽  
Umbilical Cord Prolapse

A REVIEW OF UMBILICAL CORD PROLAPSE AND THE INFLUENCE OF TRAINING ON MANAGEMENT

2012 ◽  
Vol 23 (2) ◽  
pp. 120-130
Author(s):  
CAROLINE CHEBSEY ◽  
DIMITRIS SIASSAKOS ◽  
TIM DRAYCOTT
Keyword(s):  
Umbilical Cord ◽  
Neonatal Morbidity ◽  
Team Training ◽  
Obstetric Complication ◽  
Morbidity And Mortality ◽  
Cord Prolapse ◽  
Umbilical Cord Prolapse

Umbilical cord prolapse is the descent of the umbilical cord through the cervix alongside (occult) or past (overt) the presenting part in the presence of ruptured membranes. Cord prolapse is a rare obstetric complication, usually requiring immediate delivery of the fetus to reduce neonatal morbidity and mortality. Therefore staff caring for women in labour should train regularly to manage it appropriately, because team training has been demonstrated to improve outcomes.

scholarly journals Evaluation of the risk of umbilical cord prolapse in the second twin during vaginal delivery: a retrospective cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e046616
Author(s):  
Rokuhiro Asahina ◽  
Hiroyuki Tsuda ◽  
Yuki Nishiko ◽  
Kazuya Fuma ◽  
Momoko Kuribayashi ◽  
...  
Keyword(s):  
Cohort Study ◽  
Vaginal Delivery ◽  
Umbilical Cord ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Caesarean Delivery ◽  
Cord Prolapse ◽  
Umbilical Cord Insertion ◽  
Umbilical Cord Prolapse ◽  
Second Twin

ObjectiveThis study aimed to evaluate the success rate of vaginal delivery, the reasons for unplanned caesarean delivery, the rate of umbilical cord prolapse and the risk of umbilical cord prolapse in twin deliveries.DesignRetrospective cohort study.SettingSingle institution.ParticipantsThis study included 455 women pregnant with twins (307 dichorionic and 148 monochorionic) who attempted vaginal delivery from January 2009 to August 2018. The following criteria were considered for vaginal delivery: diamniotic twins, cephalic presentation of the first twin, no history of uterine scar, no other indications for caesarean delivery, no major structural abnormality in either twin and no fetal aneuploidy.ResultsThe rate of vaginal delivery of both twins was 89.5% (407 of 455), caesarean delivery of both twins was 7.7% (35 of 455) and caesarean delivery of only the second twin was 2.9% (13 of 455). The major reasons for unplanned caesarean delivery were arrest of labour and non-reassuring fetal heart rate pattern. The rate of umbilical cord prolapse in the second twin was 1.8% (8 of 455). Multivariate analysis revealed that abnormal umbilical cord insertion in the second twin (velamentous or marginal) was the only significant factor for umbilical cord prolapse in the second twin (OR, 5.05, 95% CI 1.139 to 22.472, p=0.033).ConclusionsAbnormal umbilical cord insertion in the second twin (velamentous or marginal) was a significant factor for umbilical cord prolapse during delivery. Antenatal assessment of the second twin’s umbilical cord insertion using ultrasonography would be beneficial.

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