Umbilical Cord Coiling Index and Perinatal Outcome in Normal and Abnormal Pregnancies
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 1
Abstract
The purpose of the study was to compare umbilical coiling index and perinatal outcome in normal and abnormal pregnancies. The umbilical cords of the babies born to 500 women, who delivered either vaginally or by lower segment caesarean section, were examined and umbilical coiling index was calculated. UCI was determined by dividing the total number of coils by the total umbilical cord length in centimeters. The statistical tests were the Chi-square test and assessed with SPSS version 17.0 software. P value of less than 0.05 was regarded as statistically significant. The mean umbilical coiling index was found to be 0.34 ±0.18. Hypocoiling (<0.05) was found to be significantly associated with low apgar score, meconium staining & NICU admissions. Hypercoiling (>0.48) was found to be associated with low birth weight & IUGR. Umbilical coiling index in the antenatal period should be studied using color Doppler as that would further categorize antenatal cases into Normal, Hypocoiling, Hypercoiling. This will help in prediction of maternal & neonatal outcome and suitable management. Keywords: Umbilical coiling index , Intrauterine growth restriction, Apgar score.
Authors and Affiliations
Sakshi Agarwal, R. C. Purohit, Geeta Jain
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