Volume : VIII, Issue : IX, September - 2019

A CLINICAL STUDY OF FETOMATERNAL OUTCOME IN CASES OF UMBILICAL CORD AROUND THE NECK

Dr. Madhubala Chouhan, Dr. Dhannaram Rewar

Abstract :

Introduction: The aim of every obstetrician is to deliver the parturient in the safest way possible with minimum risk to the mother and newborn. Entanglement of umbilical cord around the foetal neck (nuchal cord) is a common finding at delivery. Objectives Of Study : To study foetal outcome in form of fetal morbidity (in form of foetal distress during labour) and mortality. Materials And Methods : The 200 cases with no cord around the neck were considered as control groups with same inclusion and exclusion criteria of case groups. Result : Male foetus (53.5%) had slightly more incidence of cord around the neck. Perinatal mortality was 4% with cord around the neck compared to 1% of control group. The relation of length of umbilical cord to the occurrence of nuchal cord entanglement was highly significant (P = 0.0016). Tight cord was factor in causing foetal distress in 62.96% and only 4.62% had foetal distress with loose cord. Conclusion : The presence of a nuchal cord per se is not found to be an indication of operative delivery. Findings of this study suggest that vaginal delivery can be attempted in spite of this ultrasonographic awareness. However, such patients require close monitoring during labour, preferably by continuous electronic fetal heart rate monitoring as well as strict maintenance of partogram.

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Article: Download PDF    DOI : 10.36106/ijsr  

Cite This Article:

A CLINICAL STUDY OF FETOMATERNAL OUTCOME IN CASES OF UMBILICAL CORD AROUND THE NECK, Dr. Madhubala Chouhan, Dr. Dhannaram Rewar INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-9 | September-2019

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