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Management of labor with umbilical cord prolapse: a 5-year study.
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1988
Year
Fetal MedicineGynecologyVaginal DeliveryOperative Vaginal DeliverySurgeryMaternity ServiceCaesarean SectionObstetricsUrogynecologyFetal DistressCord ProlapsePublic HealthCord ManagementObstetric SurgeryPreterm LaborMaternal HealthUmbilical Cord ProlapseMidwiferyIntravenous RitodrineAbortionPelvic ProlapsePediatricsPatient SafetyFifty-one CasesFetal ComplicationMedicine
Fifty‑one cord‑prolapse cases were managed by filling the bladder with 500–700 mL saline and administering intravenous ritodrine, followed by prompt cesarean delivery. The treatment yielded no perinatal deaths, a mean 5‑minute Apgar score of 9.5 with only three scores below 7, and a significant reduction in fetal distress after treatment (8 cases versus 33 before, P < 0.001), with no difference in outcomes between neonates above or below 2500 g.
Fifty-one cases of cord prolapse, in which delivery was not imminent and the fetus was still alive, were managed by filling the bladder with 500-700 mL of saline and by intravenous ritodrine. Delivery was by cesarean section as soon as possible. Among the cases so managed, there were no perinatal deaths. The mean 5-minute Apgar score was 9.5, and in only three cases was it less than 7. In eight cases, fetal distress continued after treatment, as compared with 33 cases before this type of treatment started (P less than .001); no difference was found in the outcome between neonates weighing less than or greater than 2500 g.