Original Article

VOLUME: 36 | ISSUE: 3 | Sep 30, 2020 | PAGE: (272 - 277) | DOI: 10.51441/BioMedica/5-107

Nuchal Cord and Perinatal Outsome - A Case Control Study


Authors: Saima Najam , Sumaiyya Ejaz Malik , Hina Shams Solangi , Shehla Aqeel , Nida Rizwan , Ali Raza Haider


Authors

Saima Najam

Consultant Obgyn Dr. Sulaiman Al Habib Hospital, Riyadh – Saudi Arabia.

Sumaiyya Ejaz Malik

Consultant Obgyn Dr. Sulaiman Al Habib Hospital, Riyadh – Saudi Arabia.

Hina Shams Solangi

Consultant Obgyn Dr. Sulaiman Al Habib Hospital, Riyadh – Saudi Arabia.

Shehla Aqeel

Fatima Memorial Hospital, Lahore – Pakistan

Nida Rizwan

Medical Officer Combined Military Hospital, Lahore – Pakistan.

Ali Raza Haider

Managing Partner of Dvm Pharma, Lahore – Pakistan.

Publication History

Received: April 27, 2020

Revised: August 18, 2020

Accepted: September 20, 2020

Published: September 30, 2020


Abstract


Background and Objective: The nuchal cord means the umbilical cord when it becomes wrapped around the fetal neck by 360 degree. It has been observed that the ultrasound finding of the nuchal cord not only makes the patient more apprehensive but leads to low threshold of the Caesarean section by the managing obstetrician as well. The purpose of this study was to determine the perinatal outcome associated with the cord around the neck in females presenting a hospital setting.
Methods: This case control study was conducted at Dr. Sulaiman al Habib Hospital Riyadh, Saudi Arabia.The data was collected retrospectively with the help of the predesigned proforma for six months and once the selected number of patients with the nuchal cord was enrolled, the total number of the patients was calculated. To create a control group every 12th patient without the nuchal cord was enrolled. Once the control group was formed then the primary and secondary outcomes were compared in both the groups.
Results: It was found that there is significant increase in fetal heart rate abnormalities in the nuchal cord group without increasing the rate of Caesarean section. However, the mean Appearance, Pulse, Grimace, Activity, and Respiration (apgar) score of the neonate in both the groups is not affected. The rate of admission to neonatal intensive care unit (NICU) also did not increase in our study group.
Conclusion: The nuchal cord though found to be associated with fetal heart rate abnormalities but does not increase the rate of Caesarean section. Hence all patients who have nuchal cord should be given trial of labor with continuous cardiotochographic (CTG) monitoring. It is also observed that the apgar score and NICU admission is not affected by the nuchal cord.


Keywords: Pregnancy, Caesarean section, Nuchal cord, Cardiotocography (CTG).


Pubmed Style

Saima Najam, Sumaiyya Ejaz Malik, Hina Shams Solangi, Shehla Aqeel, Nida Rizwan, Ali Raza Haider. Nuchal Cord and Perinatal Outsome - A Case Control Study. BioMedica. 2021; 29 (March 2021): 272-277. doi:10.51441/BioMedica/5-107

Web Style

Saima Najam, Sumaiyya Ejaz Malik, Hina Shams Solangi, Shehla Aqeel, Nida Rizwan, Ali Raza Haider. Nuchal Cord and Perinatal Outsome - A Case Control Study. https://biomedicapk.com/10.51441/BioMedica/5-107 [Access: June 04, 2023]. doi:10.51441/BioMedica/5-107

AMA (American Medical Association) Style

Saima Najam, Sumaiyya Ejaz Malik, Hina Shams Solangi, Shehla Aqeel, Nida Rizwan, Ali Raza Haider. Nuchal Cord and Perinatal Outsome - A Case Control Study. BioMedica. 2021; 29 (March 2021): 272-277. doi:10.51441/BioMedica/5-107

Vancouver/ICMJE Style

Saima Najam, Sumaiyya Ejaz Malik, Hina Shams Solangi, Shehla Aqeel, Nida Rizwan, Ali Raza Haider. Nuchal Cord and Perinatal Outsome - A Case Control Study. BioMedica. (2021), [cited June 04, 2023]; 29 (March 2021): 272-277. doi:10.51441/BioMedica/5-107

Harvard Style

Saima Najam, Sumaiyya Ejaz Malik, Hina Shams Solangi, Shehla Aqeel, Nida Rizwan, Ali Raza Haider (2021) Nuchal Cord and Perinatal Outsome - A Case Control Study. BioMedica, 29 (March 2021): 272-277. doi:10.51441/BioMedica/5-107

Chicago Style

Saima Najam, Sumaiyya Ejaz Malik, Hina Shams Solangi, Shehla Aqeel, Nida Rizwan, Ali Raza Haider. "Nuchal Cord and Perinatal Outsome - A Case Control Study." 29 (2021), 272-277. doi:10.51441/BioMedica/5-107

MLA (The Modern Language Association) Style

Saima Najam, Sumaiyya Ejaz Malik, Hina Shams Solangi, Shehla Aqeel, Nida Rizwan, Ali Raza Haider. "Nuchal Cord and Perinatal Outsome - A Case Control Study." 29.March 2021 (2021), 272-277. Print. doi:10.51441/BioMedica/5-107

APA (American Psychological Association) Style

Saima Najam, Sumaiyya Ejaz Malik, Hina Shams Solangi, Shehla Aqeel, Nida Rizwan, Ali Raza Haider (2021) Nuchal Cord and Perinatal Outsome - A Case Control Study. , 29 (March 2021), 272-277. doi:10.51441/BioMedica/5-107