Umbilical Coiling Index and Perinatal Outcome
| Autor: | Priyanka Gaikwad, Kiran Patole |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Centimeter Percentile Obstetrics business.industry Birth weight Umbilical Cord Length Perinatal outcome 03 medical and health sciences Low birth weight Exact test 0302 clinical medicine Anesthesia 030221 ophthalmology & optometry medicine 030212 general & internal medicine medicine.symptom business Meconium stained amniotic fluid |
| Zdroj: | MVP Journal of Medical Sciences. 3:118 |
| ISSN: | 2348-2648 2348-263X |
| DOI: | 10.18311/mvpjms/2016/v3/i2/744 |
| Popis: | Objective(s): To study the association of umbilical coiling index and perinatal outcome. Method(s): One hundred and eighty five umbilical cords were examined. A coil is defined as a complete 360 degree spiral course of umbilical vessels around the Wharton's jelly. UCI was calculated by dividing the total number of coils by the umbilical cord length in centimeters. The outcomes measured were in terms of IUGR, fetal heart rate abnormalities during labor, meconium stained amniotic fluid, number of assisted deliveries was required, NICU admission, FSB, birth weight, ponderal index, various maternal medical illnesses. Hypocoiling was considered with UCI less than the 10th percentile and hypercoiling was considered UCI greater than the 90th percentile. Statistical analysis was done by Chi-square test, Fischer's exact test and the t-test where ever applicable. Results: The mean UCI in our study was found to be 0.19 + 0.08. 82.7% of the cords were normocoiled whereas 8.6% cords were hypocoiled as well as hypercoiled each. UCI below 0.09 was hypocoiling and above 0.26 was hypercoiling. In this study we found that PIH, IUGR, intrapartum FHR abnormalities, MSAF, increased instrumental deliveries, low APGAR scores, NICU admission, low birth weight and ponderal index were significantly associated with hypocoiling (PConclusion: Our study thus shows that abnormal umbilical coiling index is associated with adverse perinatal outcome. |
| Databáze: | OpenAIRE |
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