SavedAdd your journal

Journals / Journal of Experimental and Clinical Medicine / 2022 / Cilt: 39 - Sayı: 1

Determinants for poor perinatal outcome in term pregnancies with umbilical cord prolapse

Burak ERSAK
Mahmut Kuntay KOKANALI
Duygu TUGRUL ERSAK
Yüksel OĞUZ
Yasemin TAŞÇI
Pages
71–74
Publication Date
2022-01-01
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Abnormalities detected in fetal heart rate monitoring before or during umblical cord prolapse increase poor perinatal outcome in uncomplicated term pregnancies.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Umblical cord prolapse is a very rare condition.
📊
Key Findings & Data:It is an obstetric emergency that can have unfavourable consequences for the fetus.
💡
Conclusion & Impact:Abnormalities detected in fetal heart rate monitoring before or during umblical cord prolapse increase poor perinatal outcome in uncomplicated term pregnancies.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Cesarean section · perinatal outcome · umblical cord

Abstract

Umblical cord prolapse is a very rare condition. It is an obstetric emergency that can have unfavourable consequences for the fetus. We aimed to investigate the determinants for poor perinatal outcome following emergency cesarean delivery performed due to umbilical cord prolapse in uncomplicated term pregnancies. Fifty-three term pregnants and their babies born with cesarean section due to umbilical cord prolapse were included in this retrospective study. Newborns who were taken to neonatal intensive care unit were defined as poor perinatal outcome.Eleven of fifty-three newborns needed intensive care. All of them were discharged without any problem after the treatment. The presence of fetal distress detected before or during the umbilical cord prolapse was found to be the only marker associated with poor perinatal outcome. Abnormalities detected in fetal heart rate monitoring before or during umblical cord prolapse increase poor perinatal outcome in uncomplicated term pregnancies.

🔖

Cite This Article

ERSAK, B., KOKANALI, M. K., ERSAK, D. T., OĞUZ, Y., TAŞÇI, Y. (2022). Determinants for poor perinatal outcome in term pregnancies with umbilical cord prolapse. Journal of Experimental and Clinical Medicine, Cilt: 39 - Sayı: 1, 71–74. https://ajindex.com/articles/677761

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Gabbay-Benziv R, Maman M, Wiznitzer A, Linder N, Yogev Y. Umbilical cord prolapse during delivery - risk factors and pregnancy outcome: a single center experience. J Matern Fetal Neonatal Med. 2014
  2. 27(1):14-17. doi:10.3109/14767058.2013.799651 2. Gibbons C, O'Herlihy C, Murphy JF. Umbilical cord prolapse--changing patterns and improved outcomes: a retrospective cohort study BJOG. 2014
  3. 121(13):1705-1708. doi:10.1111/1471-0528.12890 3. Sayed Ahmed WA, Hamdy MA. Optimal management of umbilical cord prolapse. Int J Womens Health. 2018
  4. Published 2018 Aug 21. doi:10.2147/IJWH.S130879 4. Koonings PP, Paul RH, Campbell K. Umbilical cord prolapse. A contemporary look. J Reprod Med. 1990
  5. 35(7):690-692. 5. Lin MG. Umbilical cord prolapse. Obstet Gynecol Surv. 2006
  6. 61(4):269-277. doi: 10.1097/01.ogx.0000208802.20908.c6 6. Alouini S, Mesnard L, Megier P, Lemaire B, Coly S, Desroches A. Procidence du cordon: prise en charge obstétricale et conséquences néonatales [Management of umbilical cord prolapse and neonatal outcomes]. J Gynecol Obstet Biol Reprod (Paris). 2010
  7. 39(6):471-477. doi: 10.1016/j.jgyn.2010.05.013 7. Critchlow CW, Leet TL, Benedetti TJ, Daling JR. Risk factors and infant outcomes associated with umbilical cord prolapse: a population-based case-control study among births in Washington State. Am J Obstet Gynecol. 1994
  8. 170(2):613-618. doi:10.1016/s0002-9378(94)70238-1 8. American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 106: Intrapartum fetal heart rate monitoring: nomenclature, interpretation, and general management principles. Obstetrics and gynecology, 114(1), 192–202. doi:10.1097/AOG.0b013e3181aef106 9. Hehir MP et al Perinatal death associated with umbilical cord prolapse. Journal of perinatal medicine, 45(5), 565–570. doi: 10.1515/jpm-2016-0223 10. Huang JP, Chen CP, Chen CP, Wang KG, Wang KL. Term pregnancy with umbilical cord prolapse. Taiwan J Obstet Gynecol. 2012
  9. 51(3):375-380. doi: 10.1016/j.tjog.2012.07.010 11. Obeidat N, Zayed F, Alchalabi H, Obeidat B, El-Jallad MF, Obeidat M. Umbilical cord prolapse: a 10-year retrospective study in two civil hospitals, North Jordan. J Obstet Gynaecol. 2010
  10. 30(3):257-260. doi:10.3109/01443610903474330 12. Nizard J. Neonatal Outcome Following Prolonged Umbilical Cord Prolapse in Preterm Premature Rupture of Membranes. BJOG
  11. an international journal of obstetrics and gynaecology, 112(6), 833–836. doi:10.1111/j.1471-0528.2005.00603.x 13. Roemer VM, Heger-Römermann G.