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2016 Month : July Volume : 5 Issue : 53 Page : 3531-3535

NUCHAL CORD AND PERINATAL OUTCOME IN A RURAL HOSPITAL: A CASE CONTROL STUDY.

Vikram Ashok Phadol1, Amit Sharad Naik2, Saudamini Amit Naik3

Corresponding Author:
Dr. Amit Sharad Naik,
Naik Hospital, Kathe Galli,
Opp. Saras Vihar Society,
Dwarka, Nashik-422011,
Maharashtra.
E-mail: drnaikamit@gmail.com

ABSTRACT

BACKGROUND

Entanglement of umbilical cord around the foetal neck (Nuchal cord) is a common finding at delivery. It is often assumed that nuchal cord causes cord compression and thus low birth weight and is often cited as major cause of foetal distress, intrapartum complications and perinatal mortality.

AIMS

To study the pregnancy outcome and neonatal outcome at a rural hospital in patients with nuchal cord and to compare them with those without nuchal cord.

SETTINGS AND DESIGN

This was a prospective, case control study conducted between January 2015 to December 2015 in the Department of Obstetrics and Gynaecology, S.M.B.T. Institute of Medical Sciences, Dhamangaon, Nashik.

METHODS AND MATERIAL

Pregnant women with singleton pregnancy and vertex presentation who delivered after 37 weeks of gestational age were enrolled in the study. Total 100 patients were selected; 50 pregnant women with nuchal cord diagnosed by ultrasound Doppler at 35 to 40 weeks of gestation were assigned as cases and 50 pregnant women without nuchal cord were assigned as controls. The management of the cases and controls were done according to the hospital labour protocols. Their labour events and outcomes were noted.

STATISTICAL ANALYSIS USED

Statistical analysis was done using two sample test and chi-square test.

RESULTS

We found no statistical significant difference in case and control groups with respect to mode of delivery, APGAR score at 1 min, need for neonatal intervention and neonatal outcome. However, mean birth weight in nuchal cord group was found to be less and statistically significant increased cord length in nuchal cord group was found.

CONCLUSIONS

Nuchal cord does not affect the mode of delivery, neonatal outcome, NICU admissions and neonatal interventions. However, nuchal cord is associated with longer umbilical cord and lower birth weight.

KEYWORDS

Nuchal Cord, Perinatal Outcome, Pregnancy Outcome.

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