Determinants for poor perinatal outcome in term pregnancies with umbilical cord prolapse

Abstract

Umblical cord prolapse is a very rare condition. It is an obstetric emergency that can have unfavourable consequences for the fetus. We aimed to investigate the determinants for poor perinatal outcome following emergency cesarean delivery performed due to umbilical cord prolapse in uncomplicated term pregnancies. Fifty-three term pregnants and their babies born with cesarean section due to umbilical cord prolapse were included in this retrospective study. Newborns who were taken to neonatal intensive care unit were defined as poor perinatal outcome.Eleven of fifty-three newborns needed intensive care. All of them were discharged without any problem after the treatment. The presence of fetal distress detected before or during the umbilical cord prolapse was found to be the only marker associated with poor perinatal outcome. Abnormalities detected in fetal heart rate monitoring before or during umblical cord prolapse increase poor perinatal outcome in uncomplicated term pregnancies.

Keywords

• Cesarean section
• perinatal outcome
• umblical cord
• newborn

References

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