A CLINICAL STUDY OF FETOMATERNAL OUTCOME IN CASES OF UMBILICAL CORD AROUND THE NECK

Dr. Madhubala Chouhan, Dr. Dhannaram Rewar

Abstract


Introduction: The aim of every obstetrician is to deliver the parturient in the safest way possible with minimum risk to the mother and newborn. Entanglement of umbilical cord around the foetal neck (nuchal cord) is a common finding at delivery.

Objectives Of Study :  To study foetal outcome in form of fetal morbidity (in form of foetal distress during labour) and mortality.

Materials And Methods : The 200 cases with no cord around the neck were considered as control groups with same inclusion and exclusion criteria of case groups.

Result : Male foetus (53.5%) had slightly more incidence of cord around the neck. Perinatal mortality was 4% with cord around the neck compared to 1% of control group. The relation of length of umbilical cord to the occurrence of nuchal cord entanglement was highly significant (P = 0.0016). Tight cord was factor in causing foetal distress in 62.96% and only 4.62% had foetal distress with loose cord.

Conclusion : The presence of a nuchal cord per se is not found to be an indication of operative delivery. Findings of this study suggest that vaginal delivery can be attempted in spite of this ultrasonographic awareness. However, such patients require close monitoring during labour, preferably by continuous electronic fetal heart rate monitoring as well as strict maintenance of partogram.


Full Text:

PDF

References


Walker CW and Pye B. Gillian, the length of human umbilical cord, a statistical report. Brit Med J 1960; 1: 546.

Shrestha NS, Singh N. Nuchal cord and perinatal Outcome. Kathmandu Univ Med J. 2007; 19:360-3.

Kan PS and Eastman JJ. Coiling of the umbilical cord around the foetal neck. Brit J Obstet Gynec 1957; 64: 227.

Shui KP, Eastman NJ. Coiling of the umbilical cord around the foetal neck. J Obstet Gynaecol Br Emp 1957;64:227-8.

Chatterjee AK, Gupta SS. Cord around the neck a study on 101 cases. J Obstet Gynecol India 1985; 5:660-4.

Joshi K, Saxena R, Bhat M, Lomord Y, Verma K. Incidence of cord around neck and its effects on labour and neonatal outcome. Adv Hum Biol 2017; 7:15-8.

Mahendra G, Pushpalata, Vijayalakshmi S, et al, Clinical study of fetomaternal outcome in neonates with cord around neck in a tertiary care hospital. Sch. J. App. Med. Sci., 2015; 3(1C): 175-177.


Refbacks

  • There are currently no refbacks.