Study of fetal outcome with cord around neck in a tertiary care hospital
Journal Title: Medpulse International Journal of Gynaecology - Year 2017, Vol 4, Issue 3
Abstract
Background: Nuchal cord is often blamed for problems that are encountered during delivery and is often cited as a major cause of fetal distress and perinatal mortality. The reported incidence varies from 5.7% in India to upto 35.1% in Switzerland. With the increasing use of colour Doppler in Ultrasound, nuchal cord has become a part of the report. Aims and Objectives: To study the perinatal outcome in babies with cord around the neck. To study the mode of delivery in babies with cord around the neck. To study the effect of loose nuchal cord and tight nuchal cord around the neck of fetus. Methodology: A total of 434 full term deliveries were studied, with 51 cases with a single or multiple loop of cord around neck. The cases without cord around neck served as control. This study was conducted at MIMSR Medical College and Yeshwantrao Chavan Rural Hospital, Latur, a tertiary care unit from 1 April 2017 to September 30, 2017. Result: Out of the 434 deliveries that occurred during the study period the incidence of cord around neck is 11.7%. (51 cases). Out of 51 cases, 64.7%(33 cases) had loose loop of cord around neck. 35.3% (18 cases) had tight loop of cord around neck. 58.8% ( 30 cases) had single loop of cord around neck. 30% ( 17 cases) had 2 loops of cord around neck. 7% (4 cases) had 3 or more loops of cord around neck. Conclusion: Nuchal cord does not increase the chances of caesarean delivery. The ultrasound diagnosis of a nuchal cord at the end of pregnancy should not be the indication of elective caesarean delivery. Loose nuchal cord is not be associated with adverse perinatal outcome. However, tight nuchal cord may be associated with increased incidence of fetal distress.
Authors and Affiliations
Arati Mane, Preshit Chate, Pravin Rajput
Keywords
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