Nuchal cord: is it really the silent risk of pregnancy?
| Autor: | Gulsum Uysal, Meryem Kuru Pekcan, Baris Büke, Kıvanç Şahin, Ayşe Filiz Avşar, Hatice Akkaya, Fulya Cagli, Gülin Feykan Yeğin |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Turkey Fetal heart Umbilical cord Nuchal Cord 03 medical and health sciences Young Adult 0302 clinical medicine Pregnancy medicine Fetal distress Humans 030212 general & internal medicine Prospective Studies Prospective cohort study Fetal neck 030219 obstetrics & reproductive medicine Obstetrics business.industry Pregnancy Outcome Obstetrics and Gynecology Abnormal heart rate medicine.disease medicine.anatomical_structure Case-Control Studies Pediatrics Perinatology and Child Health Female Nuchal cord business |
| Zdroj: | The journal of maternal-fetalneonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. 30(14) |
| ISSN: | 1476-4954 |
| Popis: | To evaluate the relationship between entanglement of umbilical cord around the fetal neck and adverse perinatal outcomes.In this prospective cohort study, perinatal outcomes of 218 pregnancies complicated with nuchal cord (NC) (study group) were compared with 190 uncomplicated pregnancies (control group). Main outcome measures were umbilical cord pH values, APGAR scores and cesarean section (C/S) rates. Fetal distress was stated as an abnormal heart rate pattern on electronic fetal heart monitorization.There were no statistically significant differences in maternal demographic and obstetric features, between groups. There were no statistically significant differences regarding C/S rates between groups, even though fetal distress was significantly the leading indication for cesarean delivery, in the study group (p = 0.021). The number of entanglement was significantly related with fetal distress (p 0.001). There were no statistically significant differences in umbilical cord gas values, one-minute and five-minute APGAR scores between the groups. Furthermore, there was a significant male dominance in the study group (p = 0.014) and also, amniotic fluid indexes (AFI) were significantly higher in this group (p = 0.002).This study demonstrated that, entanglement of umbilical cord around the fetal neck or NC is not related with adverse perinatal outcomes such as acidosis and low APGAR scores. So that, a targeted care on NC via ultrasound during labor, is not an essential part of the examination. |
| Databáze: | OpenAIRE |
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