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Umbilical cord prolapse.

H Levy, P R Meier, E L Makowski

Obstetrics and Gynecology

|October 1, 1984

Summary

This summary is machine-generated.

Umbilical cord prolapse occurred in 1 in 385 pregnancies. While fetal malpresentation is common, nearly half of cases involved vertex presentations, highlighting a preventable cause of maternal and perinatal morbidity.

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Area of Science:

Obstetrics and Gynecology
Perinatal Medicine
Maternal-Fetal Medicine

Background:

Umbilical cord prolapse is a rare obstetric emergency.
Associated factors include fetal malpresentation, but data on presentation in vertex positions are less clear.
Understanding incidence and associated factors is crucial for improving perinatal outcomes.

Purpose of the Study:

To determine the incidence of umbilical cord prolapse.
To analyze associated fetal presentations.
To identify potential causes of maternal and perinatal morbidity.

Main Methods:

Retrospective review of 385 pregnancies.
Data collected between 1969 and 1982 at a single academic medical center.
Analysis of fetal presentation and obstetric interventions.

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Main Results:

Umbilical cord prolapse complicated 1 in 385 pregnancies.
Nearly 50% of cases occurred with the fetus in a vertex presentation.
Obstetric intervention was required in nearly 20% of cases.

Conclusions:

Umbilical cord prolapse is an infrequent complication.
Vertex presentation does not preclude cord prolapse.
Obstetric intervention in cord prolapse cases is a significant contributor to preventable maternal and perinatal morbidity.