Prolapse of the umbilical cord occurred 516 times among 83,624 deliveries. The incidence was higher in abnormal presentations, particularly transverse lie (7.1%) and breech (6.6%). The gross perinatal mortality was 38.1%; for term infants the incidence was 17.6%. Prolapse of the cord was significantly higher in women over 30 years of age. One hundred forty-seven cesarean sections (28.5%) were performed. The gross perinatal mortality rate was 14.9%; the rate corrected for fetuses over 2500 g and alive on admission was 11.4%. Frequent examinations during labnor help to detect the complication early. When vaginal delivery is not feasible immediately, more liberal use of cesarean section will increase the salvage rate of infants, over 2000 g, with prolapsed cord.
© 1970 The American College of Obstetricians and Gynecologists