Umbilical Cord Prolapse and Evaluation of Maternal and Neonatal Outcomes
Aim Umbilical cord prolapse(UCP) is the presence of the umbilical cord preceding ahead of the fetal presenting part with absent membranes through the cervical canal. Delayed delivery can even cause stillbirth. Despite improved obstetric care and liberal use of cesarean delivery, the incidence has no...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Rabia Yılmaz
2021-11-01
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| Series: | Journal of Contemporary Medicine |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/1749669 |
| _version_ | 1797860618537009152 |
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| author | Yasin Altekin Elif Canseven Deniz Simsek |
| author_facet | Yasin Altekin Elif Canseven Deniz Simsek |
| author_sort | Yasin Altekin |
| collection | DOAJ |
| description | Aim
Umbilical cord prolapse(UCP) is the presence of the umbilical cord preceding ahead of the fetal presenting part with absent membranes through the cervical canal. Delayed delivery can even cause stillbirth. Despite improved obstetric care and liberal use of cesarean delivery, the incidence has not been decreased dramatically. The purpose of this study was to review the literature about umbilical cord prolapse and represent clinical experience to improve neonatal outcomes.
Material and Method
A retrospective cohort study was conducted between October 2016-December 2019. Patients who experienced UCP were evaluated in terms of antenatal care, risk factors for UCP, labor progress, and neonatal outcomes.Maternal and neonatal outcomes of these patients were compared with the women who underwent emergent cesarean delivery due to acute fetal distress(AFD).
Results
Forty-three pregnant women experienced UCP with an incidence of 11/10.000.The diagnosis was achieved by palpating the umbilical cord during the vaginal examination after detecting fetal bradycardia, severe deceleration or loss of reactivity in the Non-Stress Test. In two cases umbilical cord had seen in the vaginal introitus.The mean cervical dilatation of the patients was 5,4 cm.
The number of women who underwent emergent cesarean, recruited in the study was 255. The APGAR scores were similar.
Conclusion
Emergent cesarean delivery could improve neonatal outcomes in patients diagnosed with UCP. Fetal wellbeing monitorization, especially in the one hour from rupture of fetal membranes, provides remarkable clues for UCP diagnosis. To improve neonatal outcomes, there should be one available operating theatre for emergent circumstances and a pediatrician for neonatal resuscitation. |
| first_indexed | 2024-04-09T21:49:50Z |
| format | Article |
| id | doaj.art-6635338ad1504c47bcf0f6d09f985829 |
| institution | Directory Open Access Journal |
| issn | 2667-7180 |
| language | English |
| last_indexed | 2024-04-09T21:49:50Z |
| publishDate | 2021-11-01 |
| publisher | Rabia Yılmaz |
| record_format | Article |
| series | Journal of Contemporary Medicine |
| spelling | doaj.art-6635338ad1504c47bcf0f6d09f9858292023-03-24T19:43:25ZengRabia YılmazJournal of Contemporary Medicine2667-71802021-11-0111674975410.16899/jcm.9323831809Umbilical Cord Prolapse and Evaluation of Maternal and Neonatal OutcomesYasin Altekin0Elif Canseven1Deniz Simsek2Samsun Vezirköprü Devlet HastanesiBURSA YÜKSEK İHTİSAS SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİSAĞLIK BİLİMLERİ ÜNİVERSİTESİ, BURSA YÜKSEK İHTİSAS SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİAim Umbilical cord prolapse(UCP) is the presence of the umbilical cord preceding ahead of the fetal presenting part with absent membranes through the cervical canal. Delayed delivery can even cause stillbirth. Despite improved obstetric care and liberal use of cesarean delivery, the incidence has not been decreased dramatically. The purpose of this study was to review the literature about umbilical cord prolapse and represent clinical experience to improve neonatal outcomes. Material and Method A retrospective cohort study was conducted between October 2016-December 2019. Patients who experienced UCP were evaluated in terms of antenatal care, risk factors for UCP, labor progress, and neonatal outcomes.Maternal and neonatal outcomes of these patients were compared with the women who underwent emergent cesarean delivery due to acute fetal distress(AFD). Results Forty-three pregnant women experienced UCP with an incidence of 11/10.000.The diagnosis was achieved by palpating the umbilical cord during the vaginal examination after detecting fetal bradycardia, severe deceleration or loss of reactivity in the Non-Stress Test. In two cases umbilical cord had seen in the vaginal introitus.The mean cervical dilatation of the patients was 5,4 cm. The number of women who underwent emergent cesarean, recruited in the study was 255. The APGAR scores were similar. Conclusion Emergent cesarean delivery could improve neonatal outcomes in patients diagnosed with UCP. Fetal wellbeing monitorization, especially in the one hour from rupture of fetal membranes, provides remarkable clues for UCP diagnosis. To improve neonatal outcomes, there should be one available operating theatre for emergent circumstances and a pediatrician for neonatal resuscitation.https://dergipark.org.tr/tr/download/article-file/1749669umbilical cord prolapseemergent cesareanstillbirthacute fetal distressdiagnosis delivery intervalumblikal kord prolapsusuacil sezaryenölü doğumakut fetal distresteşhis doğum aralığı |
| spellingShingle | Yasin Altekin Elif Canseven Deniz Simsek Umbilical Cord Prolapse and Evaluation of Maternal and Neonatal Outcomes Journal of Contemporary Medicine umbilical cord prolapse emergent cesarean stillbirth acute fetal distress diagnosis delivery interval umblikal kord prolapsusu acil sezaryen ölü doğum akut fetal distres teşhis doğum aralığı |
| title | Umbilical Cord Prolapse and Evaluation of Maternal and Neonatal Outcomes |
| title_full | Umbilical Cord Prolapse and Evaluation of Maternal and Neonatal Outcomes |
| title_fullStr | Umbilical Cord Prolapse and Evaluation of Maternal and Neonatal Outcomes |
| title_full_unstemmed | Umbilical Cord Prolapse and Evaluation of Maternal and Neonatal Outcomes |
| title_short | Umbilical Cord Prolapse and Evaluation of Maternal and Neonatal Outcomes |
| title_sort | umbilical cord prolapse and evaluation of maternal and neonatal outcomes |
| topic | umbilical cord prolapse emergent cesarean stillbirth acute fetal distress diagnosis delivery interval umblikal kord prolapsusu acil sezaryen ölü doğum akut fetal distres teşhis doğum aralığı |
| url | https://dergipark.org.tr/tr/download/article-file/1749669 |
| work_keys_str_mv | AT yasinaltekin umbilicalcordprolapseandevaluationofmaternalandneonataloutcomes AT elifcanseven umbilicalcordprolapseandevaluationofmaternalandneonataloutcomes AT denizsimsek umbilicalcordprolapseandevaluationofmaternalandneonataloutcomes |