Prognosis of umbilical cord prolapse: experiency of an African maternity

Abstract

Background: Assess the fetal prognosis of umbilical cord prolapse (UCP) at Cocody University Hospital.Methods: It was a cross-sectional, descriptive and case-control study about 92 cases of umbilical cord prolapse beating. It took place over a period of 3 years from 1 January 2013 to 31 December 2015.Results: The frequency of the umbilical cord prolapse beating was 0.73%. The patients came from other maternity in 84.8%. Upon arrival in our maternity, therapeutic attitude was dominated by the positioning of Trendelenburg (73.9%). The c-section was performed in 63% of cases. The fetal prognosis was bad; neonatal mortality was 41.3% at 5 minutes of life against 9.8% in the control group. The factors aggravating the fetal prognosis were the long delay between the occurrence of the umbilical cord prolapse and childbirth, the delivery mode and the small birth weight.Conclusions: The late management and the evacuations negatively affect the fetal prognosis. Improving fetal prognosis requires quick care and the provision of an efficient technical platform surrounding maternity.

Intra natal factors associated with cerebral palsy

“…The fetal dangers of concern in Breech presentation are intrapartum fetal death, Intra cranial haemorrhage, Birth asphyxia due to cord compression, placental site retraction, premature respiratory efforts when head is still inside, cord prolapse, delayed delivery; birth injuries of which most important is long term neurological damage with resultant morbidity of the surviving child [14] . In a study by Kakou C et al, in 92 cases of cord prolapse, they opined that fast care by caesarean could improve significantly the fetal prognosis by relieving the cord compression as early as possible [15] . In a population based study by Kahana et al, they concluded that prolapse of the umbilical cord is an independent risk factor for perinatal mortality [16] .…”