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
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- EP ID EP411194
- DOI 10.14260/jemds/2018/253
- Views 97
- Downloads 0
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