The perils of true knot of the umbilical cord: antepartum, intrapartum and postpartum complications and clinical implications

Autor:	Natav Hendin, Alina Weissmann-Brenner, Gabriel Levin, Rakefet Yoeli-Ullman, Eran Kassif, Raanan Meyer, Noam Domniz, Shali Mazaki-Tovi, T. Weissbach
Rok vydání:	2021
Předmět:	medicine.medical_specialty Fetus Amniotic fluid Obstetrics business.industry Gravidity and parity Obstetrics and Gynecology Retrospective cohort study Prenatal diagnosis General Medicine Hypoglycemia medicine.disease Umbilical cord medicine.anatomical_structure medicine Gestation business
Zdroj:	Archives of Gynecology and Obstetrics. 305:573-579
ISSN:	1432-0711 0932-0067
DOI:	10.1007/s00404-021-06168-7
Popis:	True knot of the umbilical cord (TKUC) is found in 0.3–2.1% of pregnancies and is associated with an increased risk of adverse perinatal outcomes. A retrospective cohort study including all singleton pregnancies delivered from 2011 to 2019 was performed. Diagnosis of TKUC was made postnatally, immediately after delivery of the baby. Comparison was made between pregnancies with and without TKUC regarding maternal, fetal and neonatal adverse outcome. Overall, 867/85,541 (1%) pregnancies were diagnosed with TKUC. Maternal age, BMI, gravidity and parity were significantly higher in pregnancies with TKUC as well as higher rate of induction of labor, meconium-stained amniotic fluid, and delivery prior to 37 weeks. The rate of cesarean deliveries due to non-reassuring-fetal monitor was significantly higher in pregnancies with TKUC. Overall, there were 2.5% IUFD in pregnancies with TKUC vs. 1% in pregnancies without TKUC (p
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::4e4c5e59dfb5560e8ca52dd30e8f66ff https://doi.org/10.1007/s00404-021-06168-7 Zobrazit plný text záznamu Full text from SpringerLink