Prognosis of umbilical cord prolapse: experiency of an African maternity

Charles Kakou, Raoul Kasse, Hervé Koime, Arthur Kouame, Denis Effoh, Serge Boni


Background: Assess the fetal prognosis of umbilical cord prolapse (UCP) at Cocody University Hospital.

Methods: It was a cross-sectional, descriptive and case-control study about 92 cases of umbilical cord prolapse beating. It took place over a period of 3 years from 1 January 2013 to 31 December 2015.

Results: The frequency of the umbilical cord prolapse beating was 0.73%. The patients came from other maternity in 84.8%. Upon arrival in our maternity, therapeutic attitude was dominated by the positioning of Trendelenburg (73.9%). The c-section was performed in 63% of cases. The fetal prognosis was bad; neonatal mortality was 41.3% at 5 minutes of life against 9.8% in the control group. The factors aggravating the fetal prognosis were the long delay between the occurrence of the umbilical cord prolapse and childbirth, the delivery mode and the small birth weight.

Conclusions: The late management and the evacuations negatively affect the fetal prognosis. Improving fetal prognosis requires quick care and the provision of an efficient technical platform surrounding maternity.



Delivery mode, Fetal prognosis, Umbilical cord prolapse

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Kahana B, Sheiner E, Levy A, Lazer S, Mazor M. Umbilical cord prolapse and perinatal outcomes. Int J Gynecol Obstet. 2004;84:127-32.

Alouini S, Mesnard L, Megier P, Lemaire B, Coly S, Desroches A. Procidence du cordon: prise en charge obstétricale et conséquences néonatales. J Gynecol Obstet Biol Reprod. 2010;39(6):471-7

Gannard-Pechin E, Ramanah R, Cossa S, Mulin B, Maillet R, Riethmuller D. La procidence du cordon: à propos d’une série sur 23 années d’activité. J Gynecol Obstet Biol Reprod. 2012;41(6):574-83.

Traore Y, Dicko TF, Teguete B, Mulbah JK, Adjobi R, N'Guessan E, et al. Frequency of cord prolapse: etiological factors and fetal prognosis in 47 cases in a health center. Mali Med. 2006;21(1):25-9.

Hasegawa J, Sekizawa A, Ikeda T, Koresawa M, Ishiwata I, Kawabata M, et al. Japan Association of Obstetricians and Gynecologists. Clinical risk factors for poor neonatal outcomes in umbilical cord prolapse. J Matern Fetal Neonatal Med. 2015;16:1-5.

Uygur D, Kis S, Tuncer R, Ozcan FS, Erkaya S. Risk factors and infant outcomes associated with umbilical cord prolapse. Int J Gynecol Obstet. 2002;78 :127-30.

Huissoud C, du Mesnildot P, Sayegh I, Dupuis O, Clement HJ, Thevenet S, et al. The implementation of the "color" codes reduces the decision-to-birth time for urgent Caesarean sections. J Gynecol Obstet Biol Reprod. 2009;38:51-9.

Boyle JJ, Katz VL. Umbilical cord prolapse in current obstetric practice. J Reprod Med. 2005;50:303-6.

Dilbaz B, Ozturkoglu E. Risk factors and perinatal outcomes associated with umbilical cord prolapse Arch Gynecol Obstet. 2006;274:104-7.

Kalu CA, Umeora O. risks factors and perinatal outcome of umbilical cord prolapsed in Ebonyi State University Teaching Hospital, Abakaliki, Nigeria. Niger J Clin pract. 2011;14:413-7.

Obeidat N, Zayed F, Alchalabi H, Obeidat B, El-Jallad MF, Obeidat M. Umbilical cord prolapse: a 10-year retrospective study in two civil hospitals, North Jordan. J Obstet Gynaecol. 2010; 30:257-60.

Guikovaty JP, Dellembach P, Lewin D. The prolapse of the cord and limbs. Traité d'obstetrrique, VOKAER. 1985;2:473-6.

Victory R, Penava D, Da Silva O, Natale R, Richardson B. Umbilical cord pH and base excess values in relation to adverse outcome events for infants delivering at term Am. J Obstet Gynecol. 2004;191:2021-8.

Behbehani S, Patenaude V, Abenhaim HA. Maternal Risk Factors and Outcomes of Umbilical Cord Prolapse: A Population-Based Study. J Obstet Gynecol Canada. 2016;38(1):23-8.