Determinant Factors in Foetal Mortality Associated with Umbilical Cord Prolapse

Orhue, Aae; Unuigbe, Jacob A.

doi:10.1111/j.1447-0756.1984.tb00031.x

Cited by 3 publications

(4 citation statements)

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“…The perinatal mortality rate from this study was 19.2%. This was much lower compared to the findings in Abakaliki, (41.3%); 2 Ibadan, (40.3%); 1 Benin, (28%); 15 and Maiduguri, (27.3%) 11 which are different cities in different parts of the same country, Nigeria. This could be because, Lagos, a major city and former capital city in Nigeria, has better health facilities than these other cities.…”

Section: Discussioncontrasting

confidence: 59%

“…Risk factors such as malpresentation, 1 11 abnormal lie, 13 14 prematurity, multiparity, polyhydramnios, and multiple gestation (with second usually more involved) have also been identified. 11 Others include fetal congenital anomaly, pelvic tumors, marginally sited umbilical cord in a low lying placenta, 11 abnormal long umbilical cord (length of >75 cm), 15 spontaneous premature or prelabor rupture of membrane, amniotomy, fetal scalp electrode, intrauterine pressure catheter placement, and external cephalic or internal podalic version have all been associated with umbilical cord prolapse. 1 …”

Section: Introductionmentioning

confidence: 99%

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The incidence, risk factors and determinants of perinatal outcome of umbilical cord prolapses in Lagos, Nigeria

Adegbola

Ayanbode

2017

Niger Med J

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Background:Umbilical cord prolapse is an obstetric emergency which is associated with significant perinatal mortality and morbidity as well as long-term handicap.Objectives:The objective of this study was to determine the incidence of cord prolapse, elucidate the risk factors as well as the fetal outcome at the Lagos University Teaching Hospital (LUTH).Design and Setting:A retrospective study at a tertiary care center in Lagos, Nigeria.Materials and Methods:A descriptive retrospective study of all pregnancies complicated by prolapse of the umbilical cord in LUTH from January 1, 2001 to December 31, 2010.Results:A total of 13,592 deliveries were conducted during the study period and 52 of which were complicated by cord prolapse at various cervical dilatations, thus giving an incidence of 3.8/1000 deliveries. Umbilical cord prolapses occurred commonly in women with multiple parities (51.9%), pregnancies with abnormal presentations (breech precisely) in 42.3%, abnormal lie in 30.8% with majority of the cord prolapse occurring after spontaneous membrane rupture (73.1%) while 26.9% occurred following amniotomy. Twenty-nine (55.8%) cases occurred outside the hospital setting; 69.2% of the children affected were term. The mean diagnosis–delivery interval was 53.3 ± 25.5 min, and cesarean section was the mode of delivery in 84.6%. Twenty-five percent of the children had Apgar score of ≥7 at the 1st min of life increasing to 69.2% at 5 min. The perinatal mortality was however 19.2%.Conclusion:Umbilical cord prolapse is associated with a significant perinatal mortality in this study, especially in those with spontaneous rupture of membranes that occurred outside the hospital setting.

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Section: Discussioncontrasting

confidence: 59%

Section: Introductionmentioning

confidence: 99%

The incidence, risk factors and determinants of perinatal outcome of umbilical cord prolapses in Lagos, Nigeria

Adegbola

Ayanbode

2017

Niger Med J

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“…When cord prolapse occurs, immediate delivery is the ideal if the fetus is alive and viable. 7 , 20 , 21 The choice of mode of delivery and the promptness of attention are extremely important, since both factors are important determinants in the fetal and maternal outcome. 24 …”

Section: Discussionmentioning

confidence: 99%

“…The prognosis for the fetus depends on a number of factors, which include the gestational age, duration of cord prolapse before intervention, stage of labour, rapidity, efficiency of first aid, definitive management, and effective neonatal intensive care. 20 , 27 – 29 The risk of perinatal morbidity and neonatal intensive care unit admission (as judged by the presence of 5-minute Apgar scores of less than 7) was statistically significantly higher among women without prenatal care, as compared with women with prenatal care (OR 4.09, 95% CI: 1.03 to 16.30; P -value = 0.041).…”

Section: Discussionmentioning

confidence: 99%

The influence of health-seeking behavior on the incidence and perinatal outcome of umbilical cord prolapse in Nigeria

Enakpene

Odukogbe²,

Morhason-Bello³

et al. 2010

IJWH

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Objectives:To determine the influence of health-seeking behavior of urban women in South-West Nigeria on the incidence and perinatal outcome of umbilical cord prolapse (UCP).Methods:A retrospective study comparing two groups of urban women using information extracted from medical records of patients who had UCP, and were managed at the University College Hospital Ibadan, Nigeria from January1st 1995 to December 31st 2005. The data was analyzed using SPSS software (version 15). Analysis included simple tabulation, proportion and comparison of incidence, perinatal morbidity, and mortality of UCP between the two groups of women using Chi-square or Fisher’s exact test. Odds ratio (OR) and 95% confidence intervals (CI) were calculated whenever necessary. P-value of 0.05 or less was statistically significant.Results:Women without prenatal care were more likely to have fetuses with UCP (54, 75%), than in women who had prenatal care (18, 25%). The risk of perinatal death from UCP was higher in women without prenatal care, as compared with those who received prenatal care (OR 3.02, 95% CI: 0.879 to 10.356; P-value = 0.061). The risk of perinatal morbidity and neonatal intensive care admission was also higher among women without prenatal care as compared with women who received prenatal care (OR 4.09, 95% CI: 1.03 to 16.30; P-value = 0.041). The overall perinatal mortality rate in the study population was 403 per 1000 total births, and this was five times more than that of the hospital perinatal mortality rate of 80 per 1000 total births during the study period. The perinatal mortality rate was higher among women without prenatal care, 463 per 1000 total births, as compared with 222 per 1000 total births in women who received prenatal care. Perinatal death before arrival at the hospital is less likely to occur in women with prenatal care when compared with women without prenatal care (OR 0.0635; 95% CI: 0.0052 to 0.776; P-value = 0.03).Conclusion:A high index of suspicion and an identification of risk factors, with early diagnosis, prompt intervention, and provision of health care facilities can reduce the incidence and poor outcome of UCP in developing countries.

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Umbilical Cord Prolapse

Lin

2006

Obstetrical & Gynecological Survey

131

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Prolapse of the umbilical cord is a rare obstetric emergency that in the viable fetus necessitates an expeditious delivery. A case of a periviable pregnancy complicated by preterm premature rupture of membranes and overt umbilical cord prolapse was prolonged 2 weeks with expectant management is described. An extensive review of the literature regarding the etiology, risk factors, and management options for umbilical cord prolapse in both viable and previable pregnancies accompanies this report.

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Determinant Factors in Foetal Mortality Associated with Umbilical Cord Prolapse

Cited by 3 publications

References 10 publications

The incidence, risk factors and determinants of perinatal outcome of umbilical cord prolapses in Lagos, Nigeria

The incidence, risk factors and determinants of perinatal outcome of umbilical cord prolapses in Lagos, Nigeria

The influence of health-seeking behavior on the incidence and perinatal outcome of umbilical cord prolapse in Nigeria

Umbilical Cord Prolapse

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