Umbilical Cord Prolapse

@article{Lin2006UmbilicalCP,
  title={Umbilical Cord Prolapse},
  author={Monique G. Lin},
  journal={Obstetrical \& Gynecological Survey},
  year={2006},
  volume={61},
  pages={269-277}
}
  • Monique G. Lin
  • Published 1 April 2006
  • Medicine
  • Obstetrical & Gynecological Survey
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… Expand
Umbilical cord prolapse.
TLDR
Although an untreated case of umbilical cord prolapse can lead to severe fetal morbidity and mortality, prompt and appropriate management leads to good overall outcomes. Expand
A REVIEW OF UMBILICAL CORD PROLAPSE AND THE INFLUENCE OF TRAINING ON MANAGEMENT
TLDR
Staff caring for women in labour should train regularly to manage umbilical cord prolapse appropriately, because team training has been demonstrated to improve outcomes. Expand
Umbilical Cord Prolapse: A Review of the Literature
TLDR
The aim of this review is to describe the incidence, risk factor, pathophysiology, diagnosis, and management of umbilical cord prolapse, a rare but potentially life-threatening event. Expand
Term pregnancy with umbilical cord prolapse.
TLDR
Early detection of UCP and expeditious delivery are crucial to good perinatal outcomes and an emergency CS remains the mainstream management. Expand
Umbilical cord prolapse: A 10-year retrospective study in two civil hospitals, North Jordan
TLDR
It was found that cord prolapse was not associated with higher rates of perinatal mortality and this supports the benefit of clinical management of UCP by emergency (crash) delivery. Expand
Vaginal delivery in a pregnant woman with cord prolapse, velamentous cord insertion, and fetal vertex presentation
TLDR
A rare case of a pregnant woman with cord prolapse, velamentous cord insertion (VCI), and fetal vertex presentation who completed vaginal delivery who successfully delivered a baby through the vagina is reported. Expand
Umbilical Cord Prolapse and Perinatal Outcomes
TLDR
The prevalence of umbilical cord prolapse was 0.16%, the perinatal outcomes demonstrated by the severe birth asphyxia was 21.4% and the per-inatal mortality was0.2 per 1,000 live births. Expand
Cord prolapse, associated factors and fetal outcome: a report of 47 cases from the Yaounde Central Hospital, Cameroon.
TLDR
This study shows that cord prolapse is associated with severe fetal consequences in the Central Hospital Yaounde, Cameroon and a good knowledge of the risk factors, prompt diagnosis and rapid intervention by medical staff are required. Expand
Determinants and Obstetrics Outcome of Umbilical Cord Prolapse At University of Calabar Teaching Hospital , Calabar ,
Umbilical cord prolapse is a serious obstetrics condition with high perinatal mortality. The objectives were to determine the prevalence, demographic characteristics, risk factors and complicationsExpand
Sonographic Assessment of the Umbilical Cord Sonografie
The umbilical cord (UC) is a vital connection between fetus and placenta. It constitutes a stable connection to the fetomaternal interface, while allowing the fetal mobility that is of greatExpand
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References

SHOWING 1-10 OF 68 REFERENCES
Funic reduction for the management of umbilical cord prolapse.
  • J. M. Barrett
  • Medicine
  • American journal of obstetrics and gynecology
  • 1991
TLDR
A 10-year experience in which there were vigorous attempts to accomplish safe vaginal delivery after the diagnosis of umbilical cord prolapse is presented, and funic reduction is proposed as a potentially beneficial initial step in the management of Umbilical Cord prolapse. Expand
Fetal survival after umbilical cord prolapse for more than three days. A case report.
TLDR
This case entailed the longest reported interval from diagnosis of umbilical cord prolapse to delivery, and the infant was neurologically intact, with no long-term complications secondary to the prolapsed cord. Expand
Prolapse of the umbilical cord: a study of 69 cases.
TLDR
Reduction in perinatal mortality will be possible only if early diagnosis of cord prolapse can be made by means of vaginal examination or fetal heart monitoring, and the birth trauma associated with difficult vaginal delivery prevented. Expand
Prolapse of the Umbilical Cord
TLDR
When vaginal delivery is not feasible immediately, more liberal use of cesarean section will increase the salvage rate of infants, over 2000 g, with prolapsed cord, and this will help to detect the complication early. Expand
Current obstetrical practice and umbilical cord prolapse.
TLDR
It is concluded that obstetrical intervention contributes to 47% of umbilical cord prolapse cases; however, it does not increase the associated perinatal morbidity and mortality. Expand
Management of labor with umbilical cord prolapse: a 5-year study.
TLDR
Fifty-one cases of cord prolapse, in which delivery was not imminent and the fetus was still alive, were managed by filling the bladder with 500-700 mL of saline and by intravenous ritodrine, and no difference was found in the outcome between neonates weighing less than or greater than 2500 g. Expand
Umbilical cord prolapse. Is the time from diagnosis to delivery critical?
TLDR
It is indicated that umbilical cord prolapse continues to be associated with poor perinatal outcomes in some cases despite emergency delivery in a modern, high-risk obstetric unit and the time from diagnosis to delivery may not be the only critical determinant of neonatal outcome, particularly with frank prolapse. Expand
Neonatal outcome following prolonged umbilical cord prolapse in preterm premature rupture of membranes
TLDR
All infants born after umbilical cord prolapse following preterm premature rupture of membranes had a normal neurodevelopmental outcome at two years follow up. Expand
PREDISPOSING AND RISK FACTORS OF UMBILICAL CORD PROLAPSE
TLDR
Diminished perinatal mortality figures were closely associated with increased cesarean section rates in the management of deliveries complicated by UCP, and Cesareansection is recommended as the treatment of choice for deliveries complicatedby UCP. Expand
Umbilical cord prolapse in current obstetric practice.
TLDR
The higher incidence of Cord prolapse among women with induction of labor in this population merits further study, and the lack of significant morbidity and mortality in the study suggests that modern obstetric practices may influenced the natural history of umbilical cord prolapse. Expand
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