title: [Neonatal prognosis for pulsating umbilical cord prolapse at the Befelatanana hospital of Madagascar].
abstract: Umbilical cord prolapse is an obstetrical emergency that is life-threatening for the fetus. This retrospective cross-sectional study examined cases of pulsating umbilical cord prolapses at our level-3 maternity unit over the past three years and sought to assess their prognosis. Cord prolapse occurred in 0.27% of deliveries. The women's mean age was 28 years, and 51% of the women were multiparous. Cesarean deliveries were performed in 96% of cases. Factors affecting neonatal outcome were the degree of cord prolapse (p = 0.0002981) and the appearance of amniotic fluid (p = 0.004078). The neonatal complications included admission to neonatal intensive care (33%), perinatal asphyxia (31%), prematurity (29%), neonatal infection (4%), and neonatal mortality (10%).
  
  
  CONCLUSIONS
  The fetus must be delivered rapidly, especially when the umbilical cord drops outside the mother's body and the amniotic fluid is meconial.
authors.affiliation: Hôpital universitaire de gynécologie obstétrique de Befelatanana, Antananarivo, Madagascar, Faculté de médecine d'Antananarivo, université d'Ambohitsaina, Madagascar.
authors.forename: B
authors.initials: B
authors.lastname: Rakotozanany
authors.affiliation: Faculté de médecine d'Antananarivo, université d'Ambohitsaina, Madagascar, Hôpital universitaire de gynécologie obstétrique de Befelatanana, Antananarivo, Madagascar.
authors.forename: D M A
authors.initials: DM
authors.lastname: Randriambololona
authors.affiliation: Hôpital universitaire de gynécologie obstétrique de Befelatanana, Antananarivo, Madagascar, Faculté de médecine d'Antananarivo, université d'Ambohitsaina, Madagascar.
authors.forename: F
authors.initials: F
authors.lastname: Razafimadimby
authors.affiliation: Hôpital universitaire de gynécologie obstétrique de Befelatanana, Antananarivo, Madagascar, Faculté de médecine d'Antananarivo, université d'Ambohitsaina, Madagascar.
authors.forename: N Z
authors.initials: NZ
authors.lastname: Rakotomalala
authors.affiliation: Centre hospitalier universitaire d'Andohatampenaka, Antananarivo, Madagascar, Faculté de médecine d'Antananarivo, université d'Ambohitsaina, Madagascar.
authors.forename: J A
authors.initials: JA
authors.lastname: Randriambelomanana
authors.affiliation: Hôpital universitaire de gynécologie obstétrique de Befelatanana, Antananarivo, Madagascar, Faculté de médecine d'Antananarivo, université d'Ambohitsaina, Madagascar.
authors.forename: H R
authors.initials: HR
authors.lastname: Andrianampanalinarivo
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006761:Hospitals; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000209:etiology*; D008270:Madagascar; D011247:Pregnancy; D011248:Pregnancy Complications; D011379:Prognosis; D011391:Prolapse; D012189:Retrospective Studies; D014470:Umbilical Cord
keywords: Madagascar; neonatal prognosis; umbilical cord prolapsed