IMPACT OF NUCHAL CORD ON INTRAPARTUM COMPLICATIONS, MODE OF DELIVERY AND PERINATAL OUTCOME
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 9
Abstract
BACKGROUND Umbilical cord forms the connecting link between foetus and placenta through which blood flows to and from the placenta and is the lifeline of foetus. Cord accidents lead to 5-18% of all fatal foetal asphyxia cases and 10% of stillbirths, of which nuchal cord is one of the most common finding. A nuchal cord occurs when umbilical cord becomes wrapped 360 degrees around the foetal neck. The loops of cord may be - single or multiple; tight or loose. The present study was carried out to find out the impact of nuchal cord on intrapartum complications, mode of delivery and perinatal outcome. Objectives- To assess the intrapartum complications, mode of delivery & perinatal outcome in pregnancies with nuchal cord and to compare them in pregnancies without nuchal cord. MATERIALS AND METHODS The present study was prospective observational study conducted in the Department of Obstetrics and Gynaecology, SMGS Hospital, Govt. Medical College, Jammu. This study included all singletons, term pregnancies with cephalic presentation who delivered in emergency. It included 700 women out of which women with nuchal cord were taken as study group and women without nuchal cord were taken as control group. Outcome was assessed in terms of foetal heart rate irregularities, meconium staining of liquor, instrumental deliveries, caesarean section rates, weight of baby, Apgar scores at 1 and 5 minutes and NICU admissions. Outcome was also compared between subgroups i.e. single and multiple turns of cord; and tight and loose. RESULTS There was higher rate of foetal heart rate irregularities among study group as compared to control group. The rate of instrumental deliveries and caesarean section was more in study group as compared to control group. There was higher rate of meconium staining of liquor in multiple/tight subgroup as compared to single/ loose subgroup. NICU admissions were significantly higher in multiple/tight subgroup as compared to single/ loose subgroup. CONCLUSION Loose/Single nuchal cord may not be associated with adverse perinatal outcome. However, tight/multiple nuchal cord is associated with increased risk of adverse perinatal outcome.
Authors and Affiliations
Amita Gupta, Tania Kakkar, Hema Pathania, Virender Singh
Keywords
Related Articles
- EP ID EP411194
- DOI 10.14260/jemds/2018/253
- Views 85
- Downloads 0
A NON-RANDOMISED CONTROLLED TRIAL STUDY BETWEEN NIFEDIPINE AND ISOXSUPRINE AS TOCOLYTICS FOR PRE-TERM LABOUR
BACKGROUND Preterm labour and delivery are one of the biggest challenges for obstetricians, as they show increasing trends in the countries where data is available. Preterm labour and delivery remain a major cause of per...
QUALITY OF IMMUNIZATION SERVICE DELIVERY ASSESSED THROUGH RI MONITORING SYSTEM IN GOALPARA DISTRICT OF ASSAM
Since the launch of UIP in the year 1985, it has passed through various changes, modification and introduction of newer initiatives. All these efforts are initiated with a view to increasing the immunization...
CORRELATES OF PERSONAL VARIABLES OF TEACHERS AND THEIR KNOWLEDGE AND ATTITUDE TOWARDS LEARNING DISABLED CHILDREN
BACKGROUND Teaching the learning disabled entails more responsibility because decisions during early schooldays would influence the child’s acquisition of life skills necessary for survival as an adult. Several child-ori...
ASSOCIATION BETWEEN BODY MASS INDEX (BMI), BODY FAT PERCENTAGE AND PULMONARY FUNCTIONS IN OBESE, OVERWEIGHT AND NORMAL WEIGHT ADOLESCENTS
BACKGROUND Abdominal obesity may influence the lung function through a mechanism that restricts descent of diaphragm and limits lung expansion compared to overall adiposity, which may compress the chest wall. Multiple me...
IN VIVO PROTON MR SPECTROSCOPY IN DIAGNOSIS OF INTRACRANIAL CYSTIC LESIONS
BACKGROUND Magnetic resonance spectroscopy (MRS)1 is a non-invasive diagnostic tool that has been used to detect biochemical environment and the concentration of the metabolites in various tissues, which correlate with p...