Manuscript Writing Service
International Journal of Clinical Obstetrics and Gynaecology

International Journal of Clinical Obstetrics and Gynaecology

Print ISSN: 2522-6614, Online ISSN: 2522-6622

International Journal of Clinical Obstetrics and Gynaecology

2018, Vol. 2, Issue 5, Part A

Effects of nuchal cord on fetomaternal outcome: an obstetrician challenge
Author(s): Dr. Pragati Meena, Dr. Poonam Bhojwani, Dr. Gajendra Singh Verma
Abstract: Objective: The objectives of the this study were to compare need of medical and surgical interventions and progress of labor, and feto-maternal outcome in patients with cord round neck versus without cord round neck at onset of labor or at term gestation.
Methodology: This study was performed at NIMS Medical College Jaipur from January 2015 to January 2017. Total 200 cases were enrolled for a study, over a 2 year period. Among 200 patients, 100 control without cord round neck and 100 had cord round neck.
Results: Among control groups 91% women delivered vaginally. Cesarean section was done in only 24% cases and 75% cases had delivered vaginally. Instrumental delivery in1%. Neonatal variables & obstetrical outcome were compared in tight nuchal cord groups and loose cord. In our Control group Majority of patients 75% were delivered vaginally. Loose nuchal cord does not associated with any adverse maternal & perinatal outcome. Tight cord round the neck associated with increased NICU admission with increased risk of low Apgar score. Evidence of fetal distress seen in 16% cases and outcome was poor in 3% cases.
Conclusion: This is reasonably concluded from this study that cord round fetal neck remains a subject of anxiety for the paediatrician and for obstetrician & for the patient herself. Although with efficient mechanical supervision and by clinical observation "adverse circumstances which effecting the fetus will be averted in time although they do occur.
Pages: 19-23 | 1189 Views | 831 Downloads
Download Full Article: Click Here
How to cite this article:
Dr. Pragati Meena, Dr. Poonam Bhojwani, Dr. Gajendra Singh Verma. Effects of nuchal cord on fetomaternal outcome: an obstetrician challenge. International Journal of Clinical Obstetrics and Gynaecology. 2018; 2(5): 19-23.
International Journal of Clinical Obstetrics and Gynaecology