Term pregnancy with umbilical cord prolapse

Huang, Jian‐Pei; Chen, Chie‐Pein; Chen, Chih‐Ping; Wang, Kuo-Gon; Wang, Kung-Liahng

doi:10.1016/j.tjog.2012.07.010

Cited by 20 publications

(21 citation statements)

References 17 publications

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“…Two studies have shown similar incidence of umbilical cord prolapse as ours. 9,10 Umbilical cord prolapse is more frequent in advanced age 11,12 but, in our study umbilical cord prolapse occurred in a younger age group, which is in agreement with another study. 13 The younger affected cases in the…”

Section: Discussionsupporting

confidence: 93%

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

Hembram¹,

Sagili²

2017

Journal of South Asian Federation of Obstetrics and Gynaecology

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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.

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Section: Discussionsupporting

confidence: 93%

“…Studies have shown that multigravidas are most commonly affected with umbilical cord prolapse. 9,13 But, in the present study, most of the umbilical cord prolapse occurred in primigravida.…”

Section: Jsafogcontrasting

confidence: 61%

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

Hembram¹,

Sagili²

2017

Journal of South Asian Federation of Obstetrics and Gynaecology

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“…It is previously reported that incidence of umbilical cord prolapse ranges from 0.1 to 0.6% [ 2 - 6 ]. Although the total perinatal mortality and morbidity rates have been decreasing in Japan in association with improvements in neonatal resuscitation and newborn care, umbilical cord abnormalities including umbilical cord prolapse are still remaining causes of unfavorable perinatal outcomes, because cord prolapse can quickly lead to fetal compromise, with resultant long-term disability or death [ 1 , 7 - 10 ].…”

Section: Introductionmentioning

confidence: 99%

The use of balloons for uterine cervical ripening is associated with an increased risk of umbilical cord prolapse: population based questionnaire survey in Japan

Hasegawa

Sekizawa

Ikeda

et al. 2015

BMC Pregnancy Childbirth

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BackgroundTo clarify whether the use of balloons for cervical ripening is associated with the incidence of umbilical cord prolapse.MethodsA postal questionnaire survey was distributed in Japan. Cases of umbilical cord prolapse occurring during labor in association with the use of balloons for cervical ripening between 2007 and 2011 in Japan were analyzed.ResultsAnswers from 942 institutions were obtained. The subjects included 369 patients with fore-lying or prolapse of the umbilical cord among a total of 2,037,460 deliveries. Among the singleton vertex cases, fore-lying or prolapse of the umbilical cord during labor were observed in 88 (0.005%) of 1,891,189 deliveries not associated with the use of balloons for cervical ripening and in 93 (0.064%) of 146,271 deliveries associated with the use of balloons for cervical ripening (Odds ratio 13.67, 95% confidence interval 10.21, 18.30). All types of balloons were significantly associated with the occurrence of fore-lying or prolapse of the umbilical cord. A total of 39% of cases of umbilical cord prolapse occurred during manual or spontaneous balloon removal, while 53% of cases occurred after a while not directly associated with balloon removal.ConclusionThe risk of umbilical cord prolapse was significantly increased during the use of balloons for cervical ripening, especially in cases involving the use of disk-type and ball-type balloons filled with large amounts of water.

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“…Ein NSV kommt in 0,1 bis 2,3 Fällen von 1000 Geburten vor [4] [8][9] [10]. Eine verbesserte geburtshilfliche sowie neonatale medizinische Versorgung hat die einst hohe Rate von 38 % [11] innerhalb der vergangenen vier Jahrzehnte auf unter 10 % gesenkt [7][9] [12].…”

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