INTRODUCTION
••• Umbilical cord accidents and their effect on the immediate postnatal outcome
Umbilical cord Accidents and their effect on the immediate postnatal outcome
Introduction
According to Donald, “The baby’s life hangs by a cord.”Umbilical cord accidents(UCA’s) require judgement and experience of the obstetrician at the same moment and place . 30% of births have some type of umbilical cord finding.1 They are a type of ‘Sudden Antenatal Death Syndrome’ ,and account for 15% of Sudden Antenatal Death Cases.1 As of the year 2002, given the best evidence published, a rate of 2 deaths/1000 births is due to an umbilical cord accident.1Practically, one out of every 3 to 5 deliveries will have an umbilical cord finding.1
Aiims and Objectives
To study five commonly occurring umbilical cord accidents ;
1. Nuchal Cord - Tight & Loose
2. Body Loop / Extremity Loop
3. True Knots
4. Cord Prolapse
5. Marginal Insertion Of Placenta
Their Effect on the Immediate Postnatal Outcome in terms of;
1. Stillbirth
2. 1 minute Apgar score of < 7.
3. Neonates requiring Active Resuscitation measures like Ambubag, Endotracheal Intubation , Chest Compressions or Use of Drugs.
4. Neonates requiring NICU ( Neonatal intensive care unit ) Admissions.
Material And Methods
A cross sectional observational study of 300 randomly selected deliveries recorded on a predesigned proforma was done over a period of 2 years.
Results
Out of 300 random deliveries, we had 14 cases of tight nuchal cord, 33 cases of loose nuchal cord, 7 cases of body loop/extremity loop, 2 cases each of cord prolapse and true knots respectively, and 5 cases of marginal insertion of placenta. Immediate fetal outcome was transiently affected in the tight nuchal cord group.
Conclusion
UCA’s are usually incidental findings, but they may aid in explaining certain cases of adverse postnatal outcome,especially the tight nuchal cord.
Keywords- UCA’s(Umbilical cord accidents), Tight Nuchal cord, Loose nuchal cord, Body loop, Extremity loop, Marginal insertion of placenta.
More..
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TITLE - Umbilical cord accidents and their effect on the immediate postnatal outcome
AUTHOR - Tanudeep Kaur, Ravinder pal Singh
••••••IJSER Edition - May 2020
UNIVERSITY - MUHS,Nasik
GUIDE NAME -
K.P.Patole
Ravinder Pal Singh
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