Co-authors
Aaron Prasad a/l Pual Rajamani (AP)
MBBS, International Medical University, Department of Obstetrics &
Gynaecology, School of Medicine, Clinical School, Jalan Rasah, 70300
Seremban, Malaysia.
Muhammad Zarul Azham bin Mohd Zaki (MZA)
MBBS, International Medical University, Department of Obstetrics &
Gynaecology, School of Medicine, Clinical School, Jalan Rasah, 70300
Seremban, Malaysia.
Raajeswari Ravindran (RR)
MBBS, International Medical University, Department of Obstetrics &
Gynaecology, School of Medicine, Clinical School, Jalan Rasah, 70300
Seremban, Malaysia.
Sivalingam Nalliah (SN)
FRCOG, International Medical University, Department of Obstetrics &
Gynaecology, School of Medicine, Clinical School, Jalan Rasah, 70300
Seremban, Malaysia.
Corresponding Author: Aaron Prasad a/l Pual Rajamani
+60125075955
International Medical University, Jalan Rasah, Bukit Rasah, 70300
Seremban, Malaysia.aaronprasad007@gmail.com
Shortened running title Quality appraisal of UCP guidelines with AGREE II
AbstractBackground: Umbilical cord prolapse is an obstetric emergency
that warrants urgent intervention. Although the incidence is low, it
carries a high rate of fetal morbidity and mortality. Quality appraisal
of well- developed practice guidelines provides clinicians with a
framework for good clinical practice.Objective: To assess the quality of clinical practice
guidelines on umbilical cord prolapse using AGREE II instrument-2010.Search strategy: A systematic review employing the principles
of PRISMA 2020 was done to identify suitable practice guidelines
available in digital databases from inception till 2021.Selection criteria: Practice guidelines on management of
umbilical cord prolapse in English which have rigorous methodology of
development and is between 2010-2021 were selected for the appraisal.Data collection and analysis: Selected guidelines were
appraised utilizing the AGREE-II - 2010 instrumentResults: Three practice guidelines were fulfilled the selection
criteria. Two of the three guidelines were assigned sufficient scores
based on the domains for quality appraisal, though they require further
modifications.Conclusions: Practice guidelines on management of umbilical
cord prolapse developed by the RCOG and RCPI achieved sufficient scores
to be recommended for use in clinical practice. Professionals should
provide patient care based on practice points tailored to patients’
characteristics and resource availability.Keywords: umbilical cord prolapse, guidelines, clinical
practice guidelines, quality appraisal, general obstetricsTweetable abstract: AGREE II was used to assess the quality of
CPGs on umbilical CP, of which RCOG and RCPI guidelines were
recommended.