ASSOCIATION OF UMBLICAL COILING INDEX WITH PREGNANCY OUTCOME: A CLINICAL STUDY.
Dr. Archana G Singh*, Dr. Sanchita Uikey and Dr. Kirti Patel
ABSTRACT
Background: The umbilicus is the lifeline of a fetus as it supplies water, nutrients and oxygen. Spiral course of its blood vessels makes it unique. An abnormal Umblical Coiling Index(UCI) has been reported to be related to adverse perinatal outcome. Aims and objectives: To evaluate association of Normocoiling, Hypocoiling and Hypercoiling of cord to maternal factors and perinatal outcome. Material and methods: This prospective observational study carried out in the Department of Obstetrics and Gynaecology for a period of one year(2014-2015) at NSCB Medical College, Jabalpur. Umblical cord of 609 babies were examined and umblical coiling index was calculated.Its association with various maternal and perinatal factors were noted. Results: The mean length of the umblical cord was found to be 50.21+12.72cms. Mean number of coils per umblical cord was 12.67+5.23. Mean UCI was 0.25+0.089 per cms. Normocoiling(79.5%) and Sinistral(99%) coiling was predominant. Lower mean difference in gravida was significantly lower in Hypocoiled(p=0.046). Mean number of coil and length of cord found significant in Normocoiled and Hypocoiled(p=<0.0001).Lower fetal weight and Oligohydramnios was also associated with Hypocoiling. Cesarean section deliveries was lesser in Hypocoiling(p=0.009). Preterm labor was significantly associated with Hypercoiled(p=0.011). Conclusion: Abnormal UCI is associated with adverse maternal and perinatal outcome.
Keywords: Umblical cord, Umblical coiling index, Perinatal factors.
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