Umbilical cord prolapse and perinatal outcomes

Kahana, Boaz; Sheiner, Eyal; Levy, Amalia; Lazer, Simcha; Mazor, Moshe

doi:10.1016/s0020-7292(03)00333-3

Cited by 75 publications

(66 citation statements)

References 13 publications

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“…Prematurity was a cause in 9 (16.98%) patients. Other studies on risk factors associated with cord prolapse have also reported the same factors [7,8] The perinatal mortility in our study was 0.52 per 1000 births. All these deaths were unavoidable as all had absent cord pulsations at the time of presentation.…”

Section: Discussionsupporting

confidence: 84%

“…All patients with positive cord pulsations were immediately shifted to operation theatre for urgent LSCS and all had live babies. The fetal maturity in these was 32 weeks (1), 33 weeks -36 weeks (8), rest 32 were >36 weeks. Among these, birth weight of 18 babies was 1.5 kg to 2.5 kg, 23 babies were of 2.6 kg to 3.5 kg, and 2 babies weigh more than 3.6 kg.…”

Section: Resultsmentioning

confidence: 97%

“…At admission, the fetal condition was assessed and those with maturity of >32 weeks and positive cord pulsations were immediately shifted for caesarean section. In these patients, in order to alleviate pressure on cord, the cord was immediately placed high up in vagina, presenting part was elevated simultaneously and bladder filled with 500 ml normal saline (Vago method) [4][5][6][7][8][9][10] until the patient was on operating table. Foetal outcome was assessed in terms of neonatal weight, APGAR score at 0 minutes and 5 minutes and NICU admission.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Cord complications: associated risk factors and perinatal outcome

Sangwan¹,

Nanda²,

Sangwan³

et al. 2011

OJOG

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Objective: To assess the perinatal outcome in patients with cord presentation and cord prolapse over a period of 2 years and to assess the obstetric risk factors associated with these cord complications. Design: Retrospective case study. Setting: A tertiary health care centre of India. Sample: All cases of cord presentation and cord prolapse diagnosed in the department over a period of 2 years (2009-2010). Methods: The information regarding maternal presentation at the time of admission, mode of delivery, and neonatal outcome was retrieved from case sheets of patients available in Medical Record Department. Maternal factors in terms of age, parity, gestational age, mode of presentation, mode of delivery were analysed. Foetal outcome was assessed by Diagnosis to Delivery Interval, APGAR score at 0 minutes and 5 minutes, foetal weight and need for NICU admission. Results: There were 53 cases of cord complications, out of which 7 (13.20%) had cord presentation and 46 (86.80%) had cord prolapse. Among these 46 patients, 11 patients developed cord prolapse in labour room (3 after artificial rupture of membranes and 8 after spontaneous rupture of membranes), rest 34 patients presented in emergency with cord prolapse. There were 79.24% multiparous patients, 16 patients had malpresentations and breech was commonest malpresentation. Forty one patients had positive cord pulsations at the time of admission, all these patients underwent emergency caesarean section and all had live babies. Twelve patients reported to us with absent cord pulsation, 3 among these underwent section for obstructed labour with hand and cord prolapse, rest 9 delivered vaginally. The average DDI was 26.00 minutes, DDI in patients developed cord prolapse in hospital was 18.90 minutes ± 5.48 minutes, whereas in patients admitted with cord prolapse as emergency, the DDI was 29.34 minutes ± 6.37 minutes (p < 0.05). Conclusion: Analysis of the study concluded that the delivery interval between cord prolapse and delivery of the foetus is very important. Shortening of this interval can decrease neonatal complication at birth and reduce NICU admission.

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Section: Discussionsupporting

confidence: 84%

Section: Resultsmentioning

confidence: 97%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Cord complications: associated risk factors and perinatal outcome

Sangwan¹,

Nanda²,

Sangwan³

et al. 2011

OJOG

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“…In a study by Kakou C et al, in 92 cases of cord prolapse, they opined that fast care by caesarean could improve significantly the fetal prognosis by relieving the cord compression as early as possible [15] . In a population based study by Kahana et al, they concluded that prolapse of the umbilical cord is an independent risk factor for perinatal mortality [16] . When instrumental delivery is considered, of the various complications of forceps delivery, Intracranial hemorrhage sometimes leading to death can occur.…”

Section: Discussionmentioning

confidence: 99%

Intra natal factors associated with cerebral palsy

Tatavarti¹,

Meesaala²,

TDP³

2018

Int. J. Orthop. Sci.

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Cerebral palsy is a group of permanent movement disorders cause of which is multifactorial. Some Antenatal, Intranatal, Postnatal factors are associated with cerebral palsy. This study is a retrospective cohort study in which detailed birth history was taken from the mothers of 160 cerebral palsy affected children (study group) and mothers of 160 normal children (control group). History of prelabor rupture of membranes was found in 29 and 5 children of CP and normal children respectively with odds ratio of 6.862, 95% confidence interval between 2.582 -18.233. History of Prolonged labor was observed in 14 and 3 cases of CP and normal children respectively with odds raio of 5.018, confidence interval ranging from 1.413 -17.818. History of forceps delivery is observed in 9 and 2 cases of CP and normal children respectively, with odds ratio of 4.708 with confidence interval ranging from 1.001 -22.148. History of Cord prolapse was present in 4 and 1 cases of CP and normal children with odds ratio of 4.0769 with confidence interval ranging from 0.4506 -36.884. Breech presentation was present in 2 and 1 cases of CP and Normal children respectively with odds ratio of 2.0127 with confidence interval ranging from 0.1807 -21.837. All pregnant women should be considered "at risk" of developing a complication. Regular examination a gynaecologist helps in early identification of the problematic cases, and if these cases are supervised and managed by experts, may prevent unforeseen complications to the mother and the baby.

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“…La procidence du cordon pendant le travail est un accident redouté par les obstétriciens en raison d'un mauvais pronostic foetal [1,2]. C'est un accident rare dont l'incidence est estimée entre 1,5 et deux procidences pour 1000 naissances [3][4][5].…”

Section: Introductionunclassified