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Umbilical cord prolapse in current obstetric practice.

Jodell J Boyle1, Vern L Katz

  • 1Department of Obstetrics and Gynecology, Good Samaritan Hospital, Corvallis, Oregon, USA.

The Journal of Reproductive Medicine
|June 24, 2005
PubMed
Summary

Umbilical cord prolapse incidence is similar to literature findings. However, labor induction may increase frank cord prolapse risk, though modern obstetric care minimizes adverse outcomes.

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Area of Science:

  • Obstetrics
  • Perinatology
  • Maternal-Fetal Medicine

Background:

  • Umbilical cord prolapse (UCP) is a rare but serious obstetric emergency.
  • Understanding current incidence, risk factors, and outcomes is crucial for clinical practice.

Purpose of the Study:

  • To evaluate the incidence, identify risk factors, and assess outcomes of UCP.
  • To investigate the impact of current obstetric practices on UCP outcomes.

Main Methods:

  • Retrospective chart review conducted at a community hospital and a tertiary referral center.
  • Analysis of cases of umbilical cord prolapse within the study population.

Main Results:

  • Overall incidence of UCP was 3.0/1,000 births, consistent with existing literature.
  • A 40% higher rate of frank UCP was observed in patients undergoing labor induction at the community hospital.
  • All mothers and infants experienced good outcomes, with two fetal deaths attributed to extreme prematurity.

Conclusions:

  • The elevated incidence of UCP in induced labor patients warrants further investigation.
  • Modern obstetric management appears to have positively influenced the natural history of UCP, reducing morbidity and mortality.

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