Umbilical cord prolapse - A review of diagnosis to delivery interval on perinatal and maternal outcome. | [Journal of Pakistan Medical Association • 2007]

Author(s):

1. Rozilla S. Khan: Department of Obstetrics and Gynaecology, Aga Khan University Hospital, Karachi, Pakistan

2. Tahira Naru: Department of Obstetrics and Gynaecology, Aga Khan University Hospital, Karachi, Pakistan

3. Faryal Nizami: Department of Obstetrics and Gynaecology, Aga Khan University Hospital, Karachi, Pakistan

Abstract:

To determine the significance of the Diagnosis to Delivery Interval (DDI) on perinatal outcome and maternal complications in patients with umbilical cord prolapse. Methods: This was a case series of 44 patients identified with "Umbilical cord prolapse" during a 10-year period at the Aga Khan University Hospital. Data was retrieved for gestational age, foetal presentation, DDI, incision to delivery time, delivery method, apgar score, birth weight and outcome, and maternal complications. The influence of DDI on perinatal mortality, apgar scores at 5 minutes, neonatal intensive care unit (NICU) admission and maternal complications resulting from mode of delivery with cord prolapse was assessed. Results: The hospital based incidence of cord prolapse was 1.4 per 1000 deliveries. The mean DDI was 18 minutes, with 64% of women delivering within this time. Of the 13(29 %) neonates transferred to NICU with

Page(s): 487-491

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 57, Issue: 10, Year: 2007

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