MedStar Authors catalog › Details for: Risk Factors for Umbilical Cord Prolapse at the Time of Artificial Rupture of Membranes.
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Risk Factors for Umbilical Cord Prolapse at the Time of Artificial Rupture of Membranes.

by Kawakita, Tetsuya; Huang, Chun Chih; Landy, Helain J.
Citation: American journal of perinatology reports. 8(2):e89-e94, 2018 Apr..Journal: AJP reports.Published: 2018ISSN: 2157-7005.Full author list: Kawakita T; Huang CC; Landy HJ.UI/PMID: 29755833.Subject(s): IN PROCESS -- NOT YET INDEXEDInstitution(s): MedStar Health Research Institute | MedStar Washington Hospital CenterDepartment(s): Obstetrics and Gynecology, Maternal-Fetal MedicineActivity type: Journal Article.Medline article type(s): Journal ArticleOnline resources: Click here to access online Digital Object Identifier: (Click here) Abbreviated citation: Am. j. perinatol. reports. 8(2):e89-e94, 2018 Apr.Abstract: <b>Objective</b> The aim of the study was to examine the association between cervical exam at the time of artificial rupture of membranes (AROM) and cord prolapse. <b>Study Design</b> We conducted a retrospective cohort study using the data from the Consortium on Safe Labor. We included women with cephalic presentation and singleton pregnancies at>=23 weeks' gestation who underwent AROM during the course of labor. Multivariable logistic regression was used to calculate the adjusted odds ratio (aOR) with 95% confidence interval (95% CI), controlling for prespecified covariates. <b>Results</b> Of 57,204 women who underwent AROM, cord prolapse occurred in 113 (0.2%). Compared with dilation 6 to 10 cm+station>=0 at the time of AROM, <6 cm+any station and 6-10 cm+station<=-3 were associated with increased risks of cord prolapse (<6 cm+station<=-3 [aOR, 2.29; 95% CI, 1.02-5.40]; <6 cm+station -2.5 to -0.5 [aOR, 2.34; 95% CI, 1.23-4.97]; <6 cm+station>=0 [aOR, 3.31; 95% CI, 1.39-8.09]; and 6-10 cm+station<=-3 [aOR, 5.47; 95% CI, 1.35-17.48]). <b>Conclusion</b> Cervical dilation<6 cm with any station and 6 to 10 cm with station<=-3 were associated with a higher risk of cord prolapse.

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