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Analysis Study Research Paper | Obstetrics and Gynecology | India | Volume 13 Issue 1, January 2024 | Popularity: 5.6 / 10

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An Observational Study on Evaluation of Postnatal Umbilical Cord Coiling Index and its Association with Selected Maternal Factors and Fetal Outcome

Dr. Vaishali Kothari, Dr. Sarita Dheeraj

Abstract: Introduction: The factors contributing to the origin of umbilical cord coils, that is yet to be answered. The present study was undertaken to calculate the umbilical cord coiling index (UCI) postnatally in pregnant patients to identify the association with maternal high -risk factors of pregnancy and perinatal morbidity and mortality which will help in correlating maternal high-risk factors and fetal outcomes with UCI and thus can prove to be a valuable USG marker on the basis of present evidence gathered from this study. Materials and Method: 250 antenatal cases including preterm, term and post term coming to the Hospital who underwent vaginal delivery were studied. After delivery of the baby, umbilical cord coiling index (UCI) was calculated. This was further correlated with maternal high-risk factor (if any) and foetal outcome. A p value of <0.05 was considered statistically significant. Results: The mean UCI of the present study was 0.17?0.07 coils/cm. The cut off for 10th percentile was 0.0 8& the cut off for 90th percentile was 0.30. Pre-eclampsia and pregnancy induced hypertension was significantly more in hyper-coiled cords compared to normo-coiled. Both hyper-coiled and hypo-coiled cord was significantly associated with intrapartum foetal distress. Conclusion: These findings are corroborative of the fact that umbilical cord coiling is driven by certain maternal factors like anaemia in pregnancy, PIH, pre-eclampsia, oligohydramnios, while it is significantly associated with meconium -stained liquor, foetal distress and instrumental delivery as suggested by the present study. This opens up the avenue for UCI to act as predictive marker for assessing varied perinatal outcome.

Keywords: Umbilical cord coiling index (UCI), Perinatal outcome, Pre-eclampsia, Oligohydramnios

Edition: Volume 13 Issue 1, January 2024

Pages: 75 - 81

DOI: https://www.doi.org/10.21275/MR231230172232

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