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Document Details
Document Type
:
Article In Journal
Document Title
:
Audit of Cord Prolapse Management at King Abdulaziz University Hospital
Audit of Cord Prolapse Management at King Abdulaziz University Hospital
Subject
:
Obstetrics and Gynecology
Document Language
:
English
Abstract
:
To assess the incidence of risk factors, management and outcome of umbilical cord prolapsed in a university hospital setting. A retrospective chart review of women who had cord prolapsed at King Abdulaziz University Hospital over a period of eight years. During the study period there were 49 cases of cord prolapsed (0.15% incidence), which includes seven cases of cord presentation. The mean maternal age was 30.31 years. The majority was booked cases (71.4%) and 5 were less than gravida (73.5%). In 10.2% labor was induced. The incidence of abnormal fetal presentation was 16%, and in six patients the onset of labor was before 31 weeks. The mean diagnosis to delivery interval was approximately 23 minutes; with the exception of two vaginal deliveries and one ventouse delivery, all women underwent crash cesarean delivery. There were 11 admissions to the NICU/SCBU and four mortalities, giving an overall perinatal mortality of 8.15%. In two of the mortality cases there were potentially avoidable factors; the remaining ones were extremely premature babies. Cord prolapsed is still a serious obstetric emergency. The diagnosis to delivery interval is a crucial factor in the management of cord prolapsed. All obstetric units should maintain continuous drills on crash cesarean deliveries
ISSN
:
1319-1004
Journal Name
:
Medical Science Journal
Volume
:
16
Issue Number
:
2
Publishing Year
:
1430 AH
2009 AD
Article Type
:
Article
Added Date
:
Sunday, August 23, 2009
Researchers
Researcher Name (Arabic)
Researcher Name (English)
Researcher Type
Dr Grade
Email
أنس المرزوقي
Al-Marzouki, Anas
Investigator
Doctorate
آمال شبكشي
Shobokshi, Amal
Researcher
Doctorate
Files
File Name
Type
Description
29311.pdf
pdf
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