Karabeg Edina, Karabeg Enes, Karabeg Adi
Department of Pediatrics, General Hospital Sanski Most, Bosnia and Herzegovina.
Department of Obstetrics and Gynecology, General Hospital Sanski Most, Bosnia and Herzegovina.
Int J Pediatr Adolesc Med. 2021 Sep;8(3):177-180. doi: 10.1016/j.ijpam.2020.04.003. Epub 2020 May 8.
Influence of nuchal umbilical cord tension in a newborn on the developmental outcome at the end of the first year.
and subjects of research: The research is prospective, conducted in northern Bosnia and Herzegovina (Una Sana Canton), for a period of five years. In the research study, we included newborns with a nuchal cord (tight and loose) and newborns without a nuchal cord (control group). We were tracking and recording the Apgar score and the conventional cardiotocography (CTG) findings in both groups. The development of newborns was monitored by the Munich Functional Scale and the development was evaluated at the end of the first year of life.
Statistically, there was a significant presence ( .001) of Apgar score lower than 7 in newborns with nuchal cord concerning the control group. There were significantly lower Apgar score findings in newborns with a tight nuchal cord compared to ones with a loose nuchal cord ( .001). Pathological cardiotocographic findings were monitored and the statistical significance in neonates with a nuchal cord concerning the control group. Cardiotocographic data in a neonatal group with tight nuchal cord were statistically significantly lower concerning cardiotocographic data in neonates with a loose nuchal cord ( .001). Infants at the age of 1 year born with tight nuchal cord were found to have a significant developmental delay compared to those born with loose nuchal cord and control group ( .001).
The nuchal cord is the risk factor for later developmental deviation. Early diagnosis of the nuchal cord, especially tight cord around the neck (nuchal cord), is important for the prevention of later morbidity.
探讨新生儿脐带绕颈张力对出生后第一年发育结局的影响。
研究对象与方法：本研究为前瞻性研究，在波斯尼亚和黑塞哥维那北部（乌纳-萨纳州）进行，为期五年。研究纳入了有脐带绕颈（紧绕和松绕）的新生儿以及无脐带绕颈的新生儿（对照组）。我们对两组新生儿的阿氏评分和传统胎心监护（CTG）结果进行跟踪记录。采用慕尼黑功能量表监测新生儿的发育情况，并在出生后第一年末对发育情况进行评估。
统计学分析显示，与对照组相比，有脐带绕颈的新生儿阿氏评分低于7分的情况显著存在（P<0.001）。与脐带松绕的新生儿相比，脐带紧绕的新生儿阿氏评分显著更低（P<0.001）。对病理性胎心监护结果进行了监测，有脐带绕颈的新生儿与对照组相比具有统计学意义。脐带紧绕的新生儿组的胎心监护数据与脐带松绕的新生儿组相比在统计学上显著更低（P<0.001）。结果发现，与脐带松绕的新生儿和对照组相比，脐带紧绕出生的1岁婴儿存在明显的发育迟缓（P<0.001）。
脐带绕颈是后期发育偏差的危险因素。早期诊断脐带绕颈，尤其是颈部紧绕（脐带绕颈），对于预防后期发病很重要。
