Patil Nivedita S, Kulkarni Sunanda R, Lohitashwa Renu
Senior Resident, Department of Obstetrics & Gynaecology, SNMC , Bagalkot, Karnataka, India .
J Clin Diagn Res. 2013 Aug;7(8):1675-7. doi: 10.7860/JCDR/2013/5135.3224. Epub 2013 Aug 1.
To evaluate the perinatal outcome with the abnormal umbilical cord coiling index.
This prospective study was carried out in the department of OBG at Adichunchangiri Institute of Medical Sciences, B.G.Nagara, Mandya, Karnataka, India from January 2008 to August 2010. 200 patients who were in active labour with term gestations, irrespective of their parities, who had singleton pregnancies with live babies who were either delivered by vaginal or LSCS were included in the study. Umbilical cord coiling index was calculated and it was correlated with various perinatal parameters like birth weight, meconium stained liquor, Apgar score, ponderal index and foetal growth restriction. Chi square and Fisher exact tests were used to find the significance of study parameters.
There was a significant correlation between the hypercoiled cords (UCI >90(th) percentile) and IUGR of the babies (p value of < 0.001) and low ponderal indices (a p value of 0.022) Hypocoiled cords ( UCI which was < 10(th) percentile) were significantly associated with meconium staining (p < 0.001), Apgar score at 1 min of <4 and at 5 min of <7 (p value 0.065), LSCS rates (p value of 0.008) and NICU admissions (p <0.001).
Hypercoiled cords or UCI which was > 90(th) percentile was associated with IUGR and low ponderal indices. Hypocoiled cords or UCI which was <10th percentile was associated with meconium staining, Apgar score at 1 min of <4 and at 5 min of <7, more LSCS rates and more NICU admissions.
评估脐带螺旋指数异常时的围产期结局。
这项前瞻性研究于2008年1月至2010年8月在印度卡纳塔克邦曼迪亚县B.G.纳加拉的阿迪春昌吉里医学科学研究所妇产科进行。纳入200例足月妊娠且处于活跃分娩期的患者，无论其胎次如何，单胎妊娠且活产，分娩方式为阴道分娩或剖宫产。计算脐带螺旋指数，并将其与各种围产期参数进行关联，如出生体重、羊水胎粪污染、阿氏评分、 ponderal指数和胎儿生长受限。采用卡方检验和Fisher精确检验来确定研究参数的显著性。
过度螺旋的脐带（脐带螺旋指数>第90百分位数）与婴儿宫内生长受限（p值<0.001）和低ponderal指数（p值0.022）之间存在显著相关性。螺旋不足的脐带（脐带螺旋指数<第10百分位数）与胎粪污染（p<0.001）、1分钟时阿氏评分<4分和5分钟时<7分（p值0.065）、剖宫产率（p值0.008）和新生儿重症监护病房收治率（p<0.001）显著相关。
过度螺旋的脐带或脐带螺旋指数>第90百分位数与宫内生长受限和低ponderal指数相关。螺旋不足的脐带或脐带螺旋指数<第10百分位数与胎粪污染、1分钟时阿氏评分<4分和5分钟时<7分、更高的剖宫产率和更多的新生儿重症监护病房收治率相关。
