umbilical cord prolapse

Umbilical cord prolapse is a situation where the umbilical cord protrudes into the cervical canal.

Epidemiology

The estimated incidence is at  ~ 0.2-0.5% of all pregnancies .

Pathology

Associations

Recognized associations include

Radiographic features

Antenatal ultrasound

May show herniation of the umbilical cord into the cervical canal/lower uterine segment . Color Doppler is useful at confirmation .

Treatment and prognosis

A cord prolapse is an obstetric emergency that in a viable fetus necessitates an expeditious delivery . Energetic intrapartum monitoring is often recommended in order that patients with occult prolapse or presentation of the umbilical cord be diagnosed early and treated promptly.