La procidence du cordon : à propos d’une série sur 23 années d’activité

Prognosis of umbilical cord prolapse: experiency of an African maternity

“…In the literature, the incidence of the prolapsed cord is low between 0.12% and 0.18%. [2][3] Our high rate is due to selection bias, related to the recruitment mode (Table 2) with 84.8% patients were evacuated from surrounding hospitals. This high rate of patients evacuated confirmed the reference nature of our structure, the Cocody University Hospital (UH-C).…”

“…No patient (Table 3) received during the evacuation of the entire waiting treatment advocated in the literature if umbilical cord prolapse beating namely Trendelenburg positioning, the repression of fetal presentation by vaginal one-handed, the filling of the bladder by 500 to 750 cc of saline and the administration of (B-Mimetic). 3 These gestures allow to minimize the fetal distress by promoting a decompression of the umbilical cord. The absence of these gestures can be related to neonatal mortality or a bad Apgar score at birth.…”

“…This rate of 41.3% is higher than that of Traore (13.5%) but close to those of Alouini and Gannard-Pechin respectively 35.1% and 52.7%. [2][3][4] The high rate is related to the character feticide the umbilical cord prolapse.…”

“…This rate is stackable to Traoré with 80.9% and other authors. [2][3][4][5] In their studies, the prolapsed cord occurred during the 2 nd phase of labor in case of spontaneous rupture or more often of artificial rupture of the membranes. The fetal extraction is based on two parameters: the fetal status at time of diagnosis and the imminence of childbirth.…”

Preterm erken membran rüptürü durumunda umbilikal kord prolapsusu: Ne zaman daha dikkatli olmalı

“…Prolapse of the cord leads to compression and/or spasm of the fetal vessels from contact irritation and local temperature changes and may result to fetal circulatory compromise, fetal hypoxia, acidosis, brain damage, and intrauterine fetal or early neonatal death (1,2). Incidence in live births is reported as 0.16 to 0.18 percent in large studies (2,3). The incidence is reported as 0.47% in 16,874 live births at a study from Turkey and they reported that fetal abnormal presentation, multiparity, low birth weight, prematurity, polyhydramnios, and spontaneous rupture of membranes, especially with high Bishop scores were the major risk factors for umbilical cord prolapse (4).…”