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The Effect of a Multidisciplinary Obstetric Emergency Team Training Program, the in Time Course, on Diagnosis to Delivery Interval Following Umbilical Cord Prolapse: A Retrospective Cohort Study

Copson, S.; Calvert, K.; Raman, P.; Nathan, E.; Epee, M.

Obstetric Anesthesia Digest: June 2018 - Volume 38 - Issue 2 - p 83–85
doi: 10.1097/01.aoa.0000532277.05720.f6
Mechanisms, Equipment, Hazards

(Aust N Z J Obstet Gynaecol. 2017;57(3):327–333)

Although the overall incidence of cord prolapse is 0.1% to 0.6%, it often appears in perinatal mortality inquiries, with a perinatal mortality rate of 91 in 1000 in the setting of cord prolapse. Cord prolapse is also significantly associated with spastic quadriplegic or dyskinetic cerebral palsy in both term and preterm infants. In order to optimize perinatal outcome in cases of cord prolapse where there is evidence of fetal distress, a diagnosis to delivery interval (DDI) of <30 minutes has been recommended, but there is no evidence that demonstrates an association between a more rapid DDI and improved neonatal outcomes below this 30-minute interval. On the basis of previous studies, it has also been recommended that all staff involved in maternity care receive training in the management of cord prolapse, in order to avoid the poor communication and confusion about roles and responsibilities shown to be associated with poor outcomes.

King Edward Memorial Hospital, Subiaco, Perth, WA, Australia

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