Umbilical cord prolapse and perinatal outcomes

@article{Kahana2004UmbilicalCP,
  title={Umbilical cord prolapse and perinatal outcomes},
  author={Baruch Kahana and Eyal Sheiner and Amalia Levy and Simcha Lazer and Moshe Mazor},
  journal={International Journal of Gynecology \& Obstetrics},
  year={2004},
  volume={84}
}
Objectives: To determine obstetric risk factors and perinatal outcomes of pregnancies complicated by umbilical cord prolapse. Methods: A population‐based study was performed comparing all deliveries complicated by cord prolapse to deliveries without this complication. Statistical analysis was performed using multiple logistic regression models. Results: Prolapse of the umbilical cord complicated 0.4% (n=456) of all deliveries included in the study (n=121 227). Independent risk factors for cord… 
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TLDR
Abnormal fetal presentation, multiparity, low birth weight, prematurity, polyhydramnios, and spontaneous rupture of membranes, in particular with high Bishop scores, are risk factors for umbilical cord prolapse.
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.
Risk Factors for Umbilical Cord Prolapse at the Time of Artificial Rupture of Membranes
TLDR
Cervical dilation < 6 cm with any station and 6 to 10 cm with station ≤ −3 were associated with a higher risk of cord prolapse.
Maternal Risk Factors and Outcomes of Umbilical Cord Prolapse: A Population-Based
TLDR
Although there are established risk factors, UCP occurs most commonly in low risk women at term and in women with one or two previous births, early gestational age, grand multiparity, prolonged labour, and malpresentation were the strongest risk factors.
Maternal Risk Factors and Outcomes of Umbilical Cord Prolapse: A Population-Based Study.
TLDR
Although there are established risk factors, UCP occurs most commonly in low risk women at term, and vaginal delivery is preferred in women with UCP because it appears to be associated with a lower risk of fetal injury.
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.
Umbilical Cord Prolapse
TLDR
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 and the role of conservative treatment in the previable infant with a UCP is described.
Fetal demise and associated factors following umbilical cord prolapse in Mulago hospital, Uganda: a retrospective study
TLDR
The annual cumulative incidence of fetal death in the study was 23/1000 live UCP cases delivery per year for the period of 10 years studied and factors associated with fetal demise in pregnancies complicated by UCP were determined.
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.
The influence of health-seeking behavior on the incidence and perinatal outcome of umbilical cord prolapse in Nigeria
TLDR
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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TLDR
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