Perinatal outcomes
The overall perinatal outcomes of pregnancy
complicated with umbilical cord prolapse, were severe
birth asphyxia in 21.4% fetal death in 14.3%. The
perinatal mortality was 0.2 per 1,000 live births.
Three babies complicated with umbilical cord
prolapse died before admission, 2 died during labour
and one at early neonatal periods. 64.3% of cases had
no severe birth asphyxia.
Table 2 showed the perinatal outcomes in
relation to interval from diagnosis to delivery. The
mean interval from diagnosis to delivery was 25.1±8.5
minutes. The umbilical cord prolapse cases with interval
from diagnosis to delivery of more than 45 minutes, all
babies died. The group of interval of 31 to 45 minutes
was related with severe birth asphyxia (Apgar scores
at 1 minute ≤ 3 ). The shorter interval of less than 15
minutes, 64.3% of babies born without severe birth
asphyxia.
Table 3 showed the perinatal outcomes in relation
to mode of delivery. About seventy six percent of the
cases were delivered by emergency cesarean section
and 78.1% had no severe birth asphyxia comparing
with 4.8% in vaginal operative delivery.