Umbilical cord prolapse (UCP) is the presence of a loop of umbilical cord below the presenting part with ruptured membranes which is an obstetric emergency associated with increased fetal morbidity and mortality and also maternal morbidity. Objectives: The aim was to determine the incidence; risk factors and complications of umbilical cord prolapse. Results: There were 48 cases of UCP and 29,743 deliveries. The incidence of UCP was 0.16% of the deliveries. Among the cases, 83.3% had emergency

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... esarean section. This accounted for 1% of the total 3,982 caesarean section during the study period. Prematurity was the most common identified risk factor and accounted for 20.8% of cases while six patients had transverse lie which account for 12.5%. Twin gestation and breech presentation occurred in 4.2% and 8.3% of cases respectively. There was no risk factor was identified in 37.5%. In 62.5% of cases, the UCP occurred at term. In 45.8% of cases, the babies were between s1.5-2.5kg and 41.7% weighed 2.5kg or more. There were 70.8% live births and 29.2% stillbirths. Conclusion: The incidence of UCP was 0.16%. Prematurity was the most common identified risk factor and there was prompt and appropriate management of the cases of umblical cord prolapse.