Neonatal outcome following prolonged umbilical cord prolapse in preterm premature rupture of membranes

We assessed the outcome of thirteen neonates (five singletons and eight first twins) born after umbilical cord prolapse (UCP) following preterm premature rupture of membranes (PPROM) between 24 and 34 weeks of gestation. The median gestational age at PPROM was 29 weeks + 2 days. The median interval from the diagnosis of UCP to delivery was 60 and 150 minutes in singleton and twin pregnancies, respectively. The median umbilical artery pH was 7.29 [0.06]. Apgar scores ranged between four and 10 at 5 minutes after birth. All infants had a normal neurodevelopmental outcome at two years follow up.