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One hundred and I'orty cases of cord prolapse and 2.5 cases of cord presentation were reported aiiiong 39 420 deliveries which occurred at the Riyadh Military Hospital between 19x3 and 1990 ( I in 3-39 deliveries). The incidence was higher with malpresentation (breech 8.5 per cent, and transverse lie or compound presentation S.5 per cent) low birth weight, < IS00 g ( I2 per cent), mncrosoniia, > 4000 g. mothers over 3.5 years of age and highly parous women. para 4. One hundred and forty-five (87.8 per cent) caesarean sections were performed. Seven patients were delivered by forceps or ventouse and eight had normal vaginal deliveries. After 26 weeks of pregnancy, pronipt ciiesiirean section is the treatment of choice, when cord prolapse is diagnosed, when the fetus i\ still alive and when delivery is not imminent.

Serum fructosamine was measured in 275 blood donors, in 559 subjects with a normal pregnancy, in 32 gestational diabetics being treated with insulin and 69 being treated by diet only, and in 53 pregnant subjects with established diabetes. In none of the pregnant subgroups did the mean fructosamine concentration exceed that of the donor group. The concentration in normal pregnant subjects showed a modest but significant decrease with gestational age and an increase with maternal age. Hyperglycemic non-pregnant subjects (n = 24) had significantly increased serum fructosamine concentrations, and 96% of these subjects exceeded the upper 95% confidence limit for fructosamine in the donor group. A highly significant correlation was demonstrated between serum fructosamine and preprandial plasma glucose in the hyperglycemic subjects. A weak, but significant, correlation was shown for the entire population sample of antenatal patients, while this was non-significant within each of the sub-groups comprising established diabetics and gestational diabetics, respectively.

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