Study of umbilical coiling index and perinatal outcome

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dc.contributor.authorSingh, Sujataen_US
dc.contributor.authorPai, Swatien_US
dc.contributor.authorSahu, Barshaen_US
dc.date.accessioned2020-10-16T08:07:48Z
dc.date.available2020-10-16T08:07:48Z
dc.date.issued2020-10
dc.description.abstractBackground: Study was to evaluate the relationship between umbilical coiling index (UCI) and hypo-and hyper coiling of the umbilical cord and parity, neonatal weight, Ponderal Index (PI), APGAR (Appearance, pulse, grimace, activity, and respiration) score, meconium staining of the amniotic fluid, Intrauterine growth restriction (IUGR), hypertensive disorders of pregnancy and delivery interventions.Method: A prospective analytical study was performed from January 2017 to December 2018. Total of 300 patients giving birth at labour room of SCB Medical College, Cuttack were taken into study. Immediately following delivery, the umbilical cord was clamped at the foetal end and cut with scissors. UCI, mode of delivery and perinatal outcome was followed up.Results: There were 149 lower segment caesarean sections accounting to 49.7% and 151 vaginal deliveries including instrumental deliveries which was accounting to 50.3%. Minimum number of coils observed was 2. The maximum number of coils observed was 50. Caesarean section was more in hypo coiling group. APGAR score at 5 min was calculated and there was a total of 109 neonates who had APGAR <7 at 5 minutes (36.33%) out of which there were 17 neonates with hypo coiling (2.33%), 77 neonates with normo-coiling (25.66%) and 15 neonates with hyper coiling (5%). Meconium staining and instrumental delivery was more associated with hyper coiling.Conclusion: Both hyper-coiling and hypo-coiling had significant correlation with adverse perinatal outcome. If the UCI can be measured reliably in utero by ultrasound, then it might be a promising prognostic marker for adverse pregnancy outcome.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynaecology, S.C.B. Medical College and Hospital, Cuttack, Odisha, Indiaen_US
dc.identifier.citationSingh Sujata, Pai Swati, Sahu Barsha. Study of umbilical coiling index and perinatal outcome. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2020 Oct; 9(10): 3977-3982en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/208132
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber10en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20204021en_US
dc.subjectUmbilical coiling indexen_US
dc.subjectHyper-coilingen_US
dc.subjectHypo-coilingen_US
dc.subjectPerinatal outcomeen_US
dc.subjectMeconium stainingen_US
dc.titleStudy of umbilical coiling index and perinatal outcomeen_US
dc.typeJournal Articleen_US
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