Dare F O, Owolabi A T, Fasubaa O B, Ezechi O C
Department of Obstetrics and Gynaecology, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.
East Afr Med J. 1998 May;75(5):308-10.
The incidence of umbilical cord prolapse at Obafemi Awolowo University teaching hospital complex, Ile-Ife over a ten year period was 0.42% (one in 240 deliveries). The incidence was observed to be higher among the unbooked patients (76.7%). Analysis of the 60 cases reveals that multiparity, unengaged presenting part from cephalo-pelvic disproportion, prematurity, prelabour spontaneous rupture of membranes, breech presentation, and multiple pregnancy were the major contributory factors. The perinatal mortality (36.7%) was significantly higher than that of the hospital which was 8% (P < 0.05). The perinatal mortality rate was higher among the unbooked patients (86.4%). Caesarean section gave better results except when the cervix was fully dilated. Early resort to Caesarean section, proper and adequate antenatal care and properly supervised hospital delivery is recommended.
在伊费的奥巴费米·阿沃洛沃大学教学医院综合院区，十年间脐带脱垂的发生率为0.42%（240例分娩中有1例）。观察发现，未登记患者中的发生率更高（76.7%）。对60例病例的分析显示，多胎妊娠、头盆不称导致胎头未衔接、早产、临产前胎膜早破、臀位分娩和多胎妊娠是主要促成因素。围产期死亡率（36.7%）显著高于该医院8%的死亡率（P<0.05）。未登记患者的围产期死亡率更高（86.4%）。剖宫产效果更好，但宫颈完全扩张时除外。建议尽早进行剖宫产、提供适当且充分的产前护理以及在医院进行适当监督下的分娩。
