Obstetric management of prolapse of the umbilical cord.doc

 PAGE \* MERGEFORMAT 9 Obstetric management of prolapse of the umbilical cord [Keywords:] umbilical cord prolapse [Abstract] ObjectiveTo study the contribution of current obstetrical practice to the occurrence and complications of umbilical cord prolapse.MethodsThis retrospective study was carried out with 22 cases of umbilical cord prolapse.ResultsCord prolapse occurred inside the hospital in 17 cases (77.27%, obstetrical intervention preceded 9 cases (40.91%, amniotomy 7 cases, manual rotation of the fetal head 1, forceps 1, and 86.37% of infants were delivered by cesarean section, forceps delivery 2.The time from diagnosis to delivery was 5 ~ 43 minutes.The mean time of cesarean section was 20 minutes.There were 2 perinatal deaths.22.72% of infants (5 cases had a 5-min Apgar sore lt;7.ConclusionObstetrical intervention can increase the high risk of umbilical cord prolapse, however, it dose not increase the perinatal mortality. [Keywords:] prolapse of umbilical cord; obstetrical intervention Umbilical cord prolapse is a relatively rare obstetric complications reported incidence of 0.14% to 0.62% [1], but a serious threat to the life of the fetus. Prolapsed umbilical cord, more than previously reported for the malposition, multiple pregnancy, premature rupture of membranes , preterm delivery, multiple pregnancy, childbirth and other factors polyhydramnios [2], with the development of modern obstetrics, a number of risk factors for obstetric intervention has become a [3,4], such as the inappropriate induction of labor, artificial rupture of membranes, hand switch fetal head, abroad, reversing the more common in vitro [4], intrauterine placement testing equipment, such as fetal scalp blood testing device, intrauterine pressure monitors. Another approach of modern obstetric and perinatal outcomes are also changing. as improve the clinician’s understanding of umbilical cord prolapse, we retrospectively analyzed the umbilical cord prolapse in our hospit