{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T08:18:06Z","timestamp":1790410686484,"version":"4.1.0"},"reference-count":11,"publisher":"Wiley","issue":"13","license":[{"start":{"date-parts":[[2014,6,16]],"date-time":"2014-06-16T00:00:00Z","timestamp":1402876800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Umbilical cord prolapse is an acute obstetrical emergency requiring rapid identification and intervention. Its management has undergone significant changes over the past century. This study aims to document the changes in incidence, morbidity, and perinatal mortality over a 69\u2010year period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A retrospective review of the annual clinical reports of the National Maternity Hospital, Dublin, Ireland, was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>The National Maternity hospital was founded in 1894 and has nearly 10\u00a0000 deliveries each year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>All deliveries in the hospital for each year are included in each annual report.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We reviewed the reports from a 69\u2010year period (1940\u20132009). Information from the reports was collated into a database and analysed using Microsoft <jats:sc>excel<\/jats:sc> 2007.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Incidence and outcome of all cases of umbilical cord prolapse were recorded, along with the neurological outcome of all neonatal survivors (available since 1970).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The incidence of cord prolapse has decreased from 6.4\/1000 live births in the 1940s to 1.7\/100 live births in the last decade. Perinatal survival increased from 46 to 94% in the same period of time. This is inversely related to the use of caesarean section as the recommended method of delivery in this emergency. Short\u2010 and long\u2010term neurological impairment remains rare.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There has been a large reduction in the incidence of cord prolapse over a period of 69\u00a0years. A reduction in grand multiparity and use of caesarean section as the gold standard for delivery are likely to have accounted for the changes seen. Neurological impairment remains unusual.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.12890","type":"journal-article","created":{"date-parts":[[2014,6,16]],"date-time":"2014-06-16T18:39:40Z","timestamp":1402943980000},"page":"1705-1708","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Umbilical cord prolapse \u2013 changing patterns and improved outcomes: a retrospective cohort study"],"prefix":"10.1111","volume":"121","author":[{"given":"C","family":"Gibbons","sequence":"first","affiliation":[{"name":"Department of Neonatology National Maternity Hospital Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"O'Herlihy","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology National Maternity Hospital Dublin Ireland"},{"name":"UCD School of Medicine and Medical Science Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JF","family":"Murphy","sequence":"additional","affiliation":[{"name":"Department of Neonatology National Maternity Hospital Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,6,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2009.06.003"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1995.tb10850.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00603.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.51.9.712"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1973.00490300056007"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410440205"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-0770"},{"key":"e_1_2_7_9_1","doi-asserted-by":"crossref","first-page":"2827","DOI":"10.1152\/jappl.1989.66.6.2827","article-title":"Regional cerebral blood flow response during and after acute asphyxia in newborn piglets","volume":"66","author":"Goplerud JM","year":"1989","journal-title":"J Appl Physiol"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0887-8994(98)00002-2"},{"key":"e_1_2_7_11_1","volume-title":"Umbilical Cord Prolapse. Green\u2010top Guideline","author":"Royal College of Obstetricians and Gynaeologists","year":"2008"},{"key":"e_1_2_7_12_1","first-page":"233","volume-title":"Managing Obstetric Emergencies and Trauma: The MOET Course Manual","author":"Goswani K","year":"2007"}],"updated-by":[{"DOI":"10.1111\/1471-0528.13291","type":"erratum","label":"Erratum","source":"publisher","updated":{"date-parts":[[2015,2,20]],"date-time":"2015-02-20T00:00:00Z","timestamp":1424390400000}}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1471-0528.12890","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.12890","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T12:31:49Z","timestamp":1695558709000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.12890"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,6,16]]},"references-count":11,"journal-issue":{"issue":"13","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["10.1111\/1471-0528.12890"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.12890","archive":["Portico"],"relation":{"erratum":[{"id-type":"doi","id":"10.1111\/1471-0528.13291","asserted-by":"object"}]},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,6,16]]},"assertion":[{"value":"2014-04-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-06-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}