TY  - JOUR
T1  - Umbilical cord prolapse in case of preterm premature rupture of membranes: When to be more cautious?
TT  - Preterm erken membran rüptürü durumunda umbilikal kord prolapsusu: Ne zaman daha dikkatli olmalı
AU  - Ekmekçi, Emre
AU  - Gençdal, Servet
PY  - 2018
DA  - August
Y2  - 2018
DO  - 10.30569/adiyamansaglik.437559
JF  - Adıyaman Üniversitesi Sağlık Bilimleri Dergisi
JO  - ADYÜ Sağlık Bilimleri Derg
PB  - Adıyaman Üniversitesi
WT  - DergiPark
SN  - 2458-9179
SP  - 948
EP  - 956
VL  - 4
IS  - 2
LA  - en
AB  - Purpose: Todescribe the umbilical cord prolapse rates in patients with preterm prematurerupture of membranes (PPROM) between 24 weeks and 33 weeks and 6 days gestationand to define the associated factors with umbilical cord prolapse.Material and methods: Patientsadmitted due to PPROM between 24 weeks and 33 weeks and 6 days of gestation,and followed in clinic are included in the study. Primary aim of the study wasto describe the umbilical cord prolapse rates. Secondary aim was to describethe pregnancy specific factors associated with umbilical cord prolapse.Results:Total 88 patients are included in the study. Umbilical cord prolapse rate was3.4% (3/88). Umbilical cord prolapses, all occurred in the first week aftermembrane rupture. All were multiparas and at non-vertex presentation.Conclusion: Umbilicalcord prolapse is much frequent after PPROM compared to general obstetric population.Clinicians should be more cautious in follow-up of patients after PPROM in caseof earlier gestational weeks, transverse situs and non-vertex presentations,especially in the first week after PPROM.
KW  - Malpresentation
KW  - Preterm premature rupture of membranes
KW  - Umbilical cord prolapse
N2  - Amaç: 24-33. Haftalar arasında preterm erken membran rüptürü (PPROM) olan hastalarda umbilikal kord prolaps oranını ve umbilikal kord prolapsusu ile ilişkili faktörleri tanımlamak.Gereç ve Yöntem: Çalışmaya 24-33. Gebelik haftalarında PPROM nedeniyle başvuran ve klinikte takip edilen hastalar dahil edildi. Çalışmanın primer amacı, umbilikal kord prolapsusu oranını tanımlamaktır. Çalışmanın ikincil amaçı, umbilikal kord prolapsusu ile ilişkili gebelikle ilişkili faktörleri tanımlamaktır.Bulgular: Çalışmaya toplam 88 hasta dahil edildi. Çalışma grubunda umbilikal kord prolapsusu oranı% 3.4 (3/88) idi. Umbilikal kord prolapsuslarının tümü membran rüptüründen sonraki ilk haftada meydana geldi. Hepsi multipar ve non vertex pozisyonunda idi.Sonuç: Umbilikal kord prolapsusu, PPROM sonrası genel ile karşılaştırıldığında daha sıktır. Klinisyenler, PPROM sonrası hastaların takibinde, özellikle erken gebelik haftalarında, transvers situs ve non-verteks sunumlarında ilk haftada daha dikkatli olmalıdırlar.
CR  - 1. Gibbons C and  O'Herlihy C, et al. Umbilical cord prolapse--changing patterns and improved outcomes: a retrospective cohort study. BJOG 2014; 121:1705.
CR  - 2. Behbehani S and Patenaude V, et al. Maternal Risk Factors and Outcomes of Umbilical Cord Prolapse: A Population-Based Study. J ObstetGynaecol Can 2016; 38:23.
CR  - 3. Gannard-Pechin E and Ramanah R, et al. [Umbilical cord prolapse: a case study over 23 years]. J GynecolObstetBiolReprod (Paris) 2012; 41:574.
CR  - 4. Dilbaz B ve Ozturkoglu E, ark. Risk factors and perinatal outcomes associated with umbilical cord prolapse. Arch Gynecol Obstet. 2006;274:104–7.
CR  - 5.Ylä-Outinen A and  Heinonen PK,  et al Predisposing and risk factors of umbilical cord prolapse. ActaObstetGynecolScand 1985; 64:567.
CR  - 6. Uygur D ve Kiş S, ark. Risk factors and infant outcomes associated with umbilical cord prolapse. Int J GynaecolObstet 2002; 78:127.
CR  - 7. Jantien L van der Heyden. Preterm prelabor rupture of membranes:  different gestational ages, different problems. Thesis. 2014.
CR  - 8. Practice Bulletin No. 160 Summary: Premature Rupture of Membranes (2016) Obstet Gynecol 127: 192-194.
CR  - 9. Murphy DJ and  MacKenzie IZ. The mortality and morbidity associated with umbilical cord prolapse. Br J ObstetGynaecol 1995; 102:826.
CR  - 10.Qureshi NS and Taylor DJ, et al. Umbilical cord prolapse.Int J GynaecolObstet 2004; 86:29.
CR  - 11. Koonings PP and Paul RH, et al. Umbilical cord prolapse: a contemporary look. J Reprod Med 1990;35(7):690–2.
UR  - https://doi.org/10.30569/adiyamansaglik.437559
L1  - http://dergipark.org.tr/tr/download/article-file/512934
ER  -