Assessment of Antenatal Umbilical Coiling Index in Second Trimester as a Prognostic Marker of Perinatal Outcome

Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 1

Abstract

Objectives: To evaluate the antenatal umbilical cord coiling index obtained during fetal anatomic survey in the second trimester as a predictor of adverse pregnancy outcome. Methodology: A total of 100 pregnant women in the second trimester of pregnancy were enrolled in the study. They were subjected to ultrasound examination with a 2-5 MHz transabdominal curvilinear. The antenatal umbilical coiling index (aUCI) was calculated as the reciprocal value of the mean of three measurements of the pitch of one complete coil. These women were followed till delivery. Variables recorded during delivery included presence of pregnancy induced hypertension, gestational age at delivery, non-reassuring fetal heart status in labour, meconium staining of amniotic fluid and birth weight .Chi square test was used to evaluate the significance of association between adverse perinatal outcome and abnormal umbilical coiling index. Results: The mean umbilical coiling index was found to be 0.38±0.11 coils per centimetres. Significant association was found between abnormal umbilical coiling index and meconium staining of liquor, non-reassuring fetal heart status and small for gestational age neonates. Conclusion: The antenatal umbilical coiling index could be developed in the coming years as a promising noninvasive tool of fetal well-being.

Authors and Affiliations

Deepali Jain, Shikha Mathur

Keywords

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  • EP ID EP541073
  • DOI 10.21276/ijmrp.2017.3.1.011
  • Views 60
  • Downloads 0

How To Cite

Deepali Jain, Shikha Mathur (2017). Assessment of Antenatal Umbilical Coiling Index in Second Trimester as a Prognostic Marker of Perinatal Outcome. International Journal of Medical Research Professionals, 3(1), 60-65. https://europub.co.uk/articles/-A-541073