Management of labor with umbilical cord prolapse: a 5-year study
Katz, Z.; Shoham, Z.; Lancet, M.; Blickstein, I.; Mogilner, B.M.; Zalel, Y.
Obstetrics and Gynecology 72(2): 278-281
1988
ISSN/ISBN: 0029-7844 PMID: 3393364 Document Number: 306455
Fifty-one cases of cord prolapse, in which delivery was not imminent and the fetus was still alive, were managed by filling the bladder with 500-700 mL of saline and by intravenous ritodrine. Delivery was by cesarean section as soon as possible. Among the cases so managed, there were no perinatal deaths. The mean 5-minute Apgar score was 9.5, and in only three cases was it less than 7. In eight cases, fetal distress continued after treatment, as compared with 33 cases before this type of treatment started (P less than .001); no difference was found in the outcome between neonates weighing less than or greater than 2500 g.