THE MORTALITY AND MORBIDITY ASSOCIATED WITH UMBILICAL CORD PROLAPSE
AbstractA prospective study was carried out on 15 cases of cord prolapse admitted in the study period between January 1995 and December 1995 in Gynae "A" unit at Women and Children Teaching Hospital, Abbottabad. managing 15(H) deliveries annually. Survival rates were assessed by APGAR score at 1 and 5 minutes. The incidence of cord prolapse was 1 in 100 in our study group. H babies were alive when cord prolapse was diagnosed and all except 1 survived inspite of severe bradycardia. Reason for low mortality rate of hospital diagnosed cases with alive fetuses was a short diagnosis to delivery interval (D.D.I.).
Barret H. Funic reduction for the management of
umbilical cord prolapse. Am J Obstet Gynecol, 1991;
Murphy DJ and Mackenzie IZ. The mortality and
morbidity associated with umbilical cord prolapse. Br
J Obstet Gynecol, 1995; 102.
Driscoll. Cord prolapse: can we save more babies? Br
J Obstet Gynecol, 1987; 94.
Fenton A. Prolapse of the cord during labour. Am J
Obstet Gynecol, 1951; 62.
Gold TWO. A decade in the management and
presentation of the umbilical cord. Br J Clin Pract.
Katz Z, Lancet M and Borenstein R. Management of
labour with umbilical cord prolapse. Am J Obstet
Gynecol, 1988; 142.
Koonings P, Paul R and Campbell K J. Umbilical
cord prolapse: a contemporary look. Rep rod Med,
Levy H, Meier P and Makowski E. Umbilical cord
prolapse. Obst Gynaecol, 1984; 64.
Mesleh R, Sultan M. Sabagh T and Algwiser AJ.
Umbilical cord prolapses. Obstet Gynaecol, 1993: 13.
Savage E, Kohl SG and Wynn RM. Prolapse of the
umbilical cord. Obstet Gynecol, 1970; 36.
Yudkin PL & Johnson A. Clustering of perinatal
markers of birth asphyxia and outcome at age 5 years.
Br J Obstet Gynaecol, 1994; 101.