Open AccessPREDISPOSING AND RISK FACTORS OF UMBILICAL CORD PROLAPSE
Author(s) -
YläOutinen Ari,
Hein Pentti K.,
Tuimala Risto
Publication year - 1985
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016348509156364
Subject(s) - medicine , umbilical cord , incidence (geometry) , obstetrics , perinatal mortality , pregnancy , presentation (obstetrics) , fetus , gynecology , physics , genetics , biology , optics , anatomy
. Altogether 117 deliveries (0.14%) out of 82 308 were complicated by umbilical cord prolapse (UCP) in the obstetrical department of Tampere University Central Hospital in the period 1962–81. The gross perinatal mortality rate in the present study was 16.2%, but during the last 5‐year period the incidence of UCP (0.09%) as well as the perinatal mortality rate (5.9%) declined significantly. UCP seemed to be more prevalent during the first half of the year. The most prominent precipitating factors for the occurrence of UCP seemed to be abnormal presentation, multiple pregnancy, low birth weight, and multiparity. Amnio‐tomy seemed not to increase the risk for UCP. Diminished perinatal mortality figures were closely associated with increased cesarean section rates in the management of deliveries complicated by UCP. Cesarean section is therefore recommended as the treatment of choice for deliveries complicated by UCP.