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Umbilical Coiling Index and Its Relationship with Perinatal Outcomes |
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| Correspondence
Address : Dr. Saswati Tripathy Assistant Professor, Department of Obstetrics and Gynaecology, SRM Medical College Hospital & Research Centre,Kattankulathur, Tamilnadu, India Phone: 9600134042 Email: saswatitripathy@yahoo.com |
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| Aim: To evaluate any adverse perinatal outcomes associated with abnormal coiling of umbilical cord. Materials & Methods: One hundred two (102) umbilical cords of babies delivered either by vaginally or by lower segment caesarian section were examined. The umbilical coiling index was calculated by dividing the total number of coils by the length of the cord. Subjects with umbilical coiling index below 10th percentile, between 10th and 90th percentile and above 90th percentile were defined as hypocoiled, normocoiled and hypercoiled respectively. Various outcome measures like gestational age at birth, intrauterine growth retardation, birth weight, meconium staining, APGAR scores at 1 and 5 mins were observed. Statistical analysis was done and p < 0.05 was considered as significant. Results:The mean Umbilical coiling index was 0.20 ± 0.08. A significant relationship was found between hypocoiled cords and pregnancy-induced-hypertension (PIH) in mother and meconium staining (p< 0.05). Hypercoiled cords were associated with PIH in mother, preterm delivery and low birth weight (p< 0.05). APGAR score at 5min ≤ 6 was seen in hypocoiled cords (p<0.05). Conclusion:Abnormal coiling index is associated with adverse perinatal outcomes. | ||||||
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