The authors present 30 cases where umbilical cord prolapse was associated with vertex presentation which were managed by the vacuum extraction method. Fetal morbidity and mortality rates were 6.7 and 10.0%, respectively. The failure rate was 3.4%. The most serious maternal complication was mild lacerations of the uterine cervix, which were successfully sutured. Based on their experience, the authors came to several conclusions. The procedure is mostly successful in highly selected cases associated with multiparity and cervical dilation of 6 to 7 cm or more. Correct use of the above method is associated with minimal fetal and maternal trauma. Although cesarean section is still the treatment of choice when cord prolapse occurs during labor, it is believed that this extraction technique might be of great help in those places where such a cesarean procedure is still associated with some delay for medical or technical reasons.
ASJC Scopus subject areas
- Obstetrics and Gynecology