Balsak D, Erol O, Toz E, Tahaoglu A E, Togrul C, Eser A, Aksin S, Balsak B
Clin Exp Obstet Gynecol. 2017;44(3):395-397.
To investigate the outcomes of pregnancies with a sonographically detected nuchal cord (NC) from a single center in south-eastern Turkey.
A retrospective study was carried out at Maternity and Child Health Hospital Diyarbakir, Turkey, between 2011 and 2013. A-total of 477 pregnancies with sonographically detected NC during the second and third trimesteri of gestation (20-40 weeks) were included. The control group consisted of 1,043 randomly selected pregnancies without NC matched for gestational age at the time of ultrasound examination. Outcome variables, including maternal age, parity, gestational age at delivery, mnode of delivery, intrapartum fetal heart abnormalities, meconium-stained amniotic fluid, birth weight, and one- and five-minute Apgar scores, were compared between the two groups.
There were no statistically significant differences in any of the outcome variables between patients with sonographically detected NC and controls.
The presence of NC indicates a need for increased care but is not associated with adverse perinatal outcomes.
研究土耳其东南部某单一中心超声检查发现有脐带绕颈(NC)的妊娠结局。
于2011年至2013年在土耳其迪亚巴克尔妇幼保健医院开展一项回顾性研究。纳入总共477例在妊娠中期和晚期(20 - 40周)超声检查发现有NC的妊娠病例。对照组由1043例随机选取的无NC的妊娠病例组成,这些病例在超声检查时的孕周相匹配。比较两组的结局变量,包括产妇年龄、产次、分娩时孕周、分娩方式、产时胎儿心脏异常、羊水胎粪污染、出生体重以及1分钟和5分钟阿氏评分。
超声检查发现有NC的患者与对照组之间,任何结局变量均无统计学显著差异。
NC的存在表明需要加强监护,但与不良围产期结局无关。