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Determinant Factors in Foetal Mortality Associated with Umbilical Cord Prolapse
Author(s) -
Orhue Augustine A. E.,
Unuigbe Jacob A.
Publication year - 1984
Publication title -
asia‐oceania journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 0389-2328
DOI - 10.1111/j.1447-0756.1984.tb00031.x
Subject(s) - medicine , caesarian section , umbilical cord , vaginal delivery , obstetrics , perinatal mortality , cord , mortality rate , surgery , fetus , pregnancy , genetics , biology , anatomy
Fifty cases of umbilical cord prolapse in a nine‐year period is analysed. The incidence was 0.21% and foetal mortality rate 28%. The Caesarian section rate was 86% and all live babies were delivered by Caesarian section. Analysis of the foetal mortalities revealed the following trend. Of the 18 patients who ruptured membranes spontaneously at home, foetal mortality was 66.6% as against 6.3% for those rupturing membranes in hospital. Of the 20 patients arriving hospital over two hours after the cord prolapse, 65% foetal mortality occurred. When the diagnosis delivery interval was beyond 30 minutes the foetal mortality for the 19 cases was 68.4%. Of the 19 cases where cord prolapse occurred with the Os uteri 8–10 centimeters dilated and had attempted vaginal delivery before Caesarian section, the foetal mortality was 57.9% as against 9.7% for the 31 cases where cord prolapse occurred with the Os uteri less than seven centimeters dilated and had a straight Caesarian section. Other contributing factors to foetal mortality were missed diagnosis of cord prolapse on admission, wrong judgement of the safest mode of delivery and undue delay of patient arrival in labour ward after cord prolapse.