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Paper
Title

Evaluation of risk factor and complication of umbilical cord prolapsed in cesarean section

مجله علمی ناباروری ایران، دوره: 6، شماره: 1
Year: 1394
COI: JR_IRJN-6-1_003
Language: EnglishView: 170
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Authors

Zahra Rezaee - Tehran University of medical sciences
Mamak Shariat - Maternal- fetal & Neonatal Research Center, Tehran University of medical sciences
Mehrnaz Valadan - Tehran University of Medical Sciences
bita Ebrahim - Breastfeeding Research Center, Tehran University of medical sciences

Abstract:

Objectives: Considering the rarity of umbilical cord prolapse (UCP) and lack of accurate data about the risk factors and health outcomes, we aimed to evaluate cases of cesarean section (CS) due to UCP in order to reduce treatment costs and provide information about the mortality and morbidity associated with this condition.Patients & Methods: Of 35,259 cases of CS performed in four hospitals during 2004-2012, 103 cases of UCP were selected as the case group; on the other hand, 318 cases without UCP were classified as the control group. Information was extracted from patients records and analyzed by SPSS version 18. Results: Prevalence of UCP was estimated at 0.2%. In the case group, the active phase of labor was reported 1.4 times (81% vs 57%-P<0.00), engagement 8 times (14% vs 2% -P<0.001), transverse presentation 8 times (6% vs 2%-P<0.002), grand multiparity 3.9 times (4% vs 0-P<0.001), oligohydramnios 4.7 times (5% vs. 0-P<0.0001, and polyhydramnios 5.9 times (6% vs 0 - P<0.001). UCP was more prevalent in post-term deliveries (P<0.043). One-minute Apgar score < 7 was 3 times more prevalent in neonates of the case group (P<0.00). Prepartum vaginal bleeding was 4 times more common in the case group, compared to the control group; also, decreased fetal movement and heart rate drop were more prevalent in the case group. Mortality rate was 5.2% in the case group and 1.7% in the control group. Overall, the control group had a better general health at discharge, compared to the case group. Conclusion: A statistically significant correlation was detected between UCP and gestational age, active phase of labor, fetal presentation, engagement, parity, and amniotic fluid volume.

Keywords:

Umbilical cord Prolapse , CS , Risk factors , complications of Umbilical cord prolapsed

Paper COI Code

This Paper COI Code is JR_IRJN-6-1_003. Also You can use the following address to link to this article. This link is permanent and is used as an article registration confirmation in the Civilica reference:

https://civilica.com/doc/935321/

How to Cite to This Paper:

If you want to refer to this Paper in your research work, you can simply use the following phrase in the resources section:
Rezaee, Zahra and Shariat, Mamak and Valadan, Mehrnaz and Ebrahim, bita,1394,Evaluation of risk factor and complication of umbilical cord prolapsed in cesarean section,https://civilica.com/doc/935321

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Type of center: علوم پزشکی
Paper count: 9,436
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