Perinatal mortality following umbilical cord prolapse.

摘要

Umbilical cord prolapse, which occurred in 0.6% of deliveries in 1932, now complicates only approximately 0.2% of deliveries . The reduced incidence probably reflects changes in obstetric practice, especially the increased use of elective cesarean section (CS). Intrapartum CS in cases of noncephalic presentation and a more active intrapartum management of the very preterm fetus also account for the decreased incidence .This retrospective study was designed to determine the prevalence and perinatal outcome of deliveries complicated by cord prolapse at University College Hospital, Ibadan, Nigeria. A total of 78 casesof umbilical cord prolapse were recorded in the 16,596 deliveries performed from January 1, 1995 to December 31, 2005, for a prevalence of 0.47%.