Related Experiment Video
Updated: May 20, 2026
03:30
Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
[Umbilical cord prolapse: a case study over 23 years]
E Gannard-Pechin1, R Ramanah, S Cossa
1Service de gynécologie-obstétrique, hôpital Saint-Jacques, 4, place Saint-Jacques, 25000 Besançon, France.
Summary
Umbilical cord prolapse remains a serious pregnancy complication with significant neonatal mortality. Rapid delivery is crucial for improving outcomes, especially in breech and second twin presentations.
Area of Science:
- Obstetrics and Gynecology
- Perinatology
- Neonatal Medicine
Context:
- Umbilical cord prolapse (UCP) is a rare but critical obstetric emergency.
- This study analyzes UCP incidence, patient characteristics, management, and neonatal outcomes over a 24-year period.
- Level III labor ward data provides insights into UCP in a high-risk setting.
Purpose:
- To determine the incidence of umbilical cord prolapse.
- To characterize the population affected by UCP.
- To evaluate UCP management strategies and assess neonatal prognosis.
Summary:
- The incidence of UCP was 0.18%, with higher rates in multiparous patients, twin pregnancies, and breech presentations.
- Vaginal delivery was faster than cesarean section, particularly in breech and second twin cases.
- Low birth weight (<2500g) neonates had poorer outcomes, including increased intensive care transfer and mortality (6.5%).
Impact:
- Highlights UCP as a significant cause of neonatal mortality.
- Emphasizes the importance of rapid delivery to improve neonatal outcomes.
- Suggests vaginal delivery may be faster in specific situations like breech and second twin presentations, impacting clinical management decisions.
