Coils in Umbilical Cord and their Perinatal Significance in North Indian Population: A Cross-sectional Study
Introduction: Umbilical Coiling Index (UCI) is defined as number of coils present per centimeter of cord. Abnormal coiling index (hypocoiled/hypercoiled) has been studied previously and found to be associated with adverse perinatal outcome. There is limited literature available on Indian popula...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Pvt. Ltd.
2017-07-01
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| Series: | Indian Journal of Neonatal Medicine and Research |
| Subjects: | |
| Online Access: | http://www.ijnmr.net/articles/PDF/2210/25528_210717_25528_CE[VSU]_F(GH)_PF1(VsuGH)_PFA(GH)_PF2(VSU_GG).pdf |
| Summary: | Introduction: Umbilical Coiling Index (UCI) is defined as
number of coils present per centimeter of cord. Abnormal
coiling index (hypocoiled/hypercoiled) has been studied
previously and found to be associated with adverse perinatal
outcome. There is limited literature available on Indian
population
Aim: To analyze association between UCI and maternal
and fetal risk factors and to evaluate how hypocoiling,
normocoiling and hypercoiling are linked to materno-fetal
outcome in a North Indian population.
Materials and Methods: A cross-sectional study was
conducted on 500 antenatal women who were enrolled in
their active phase of labour and UCI calculated after delivery.
UCI was determined by formula- number of coils/length of
cord in centimeters (cm). Normocoiling, hypocoiling and
hypercoiling were determined and its association with various
maternal risk factors and perinatal outcome was noted.
Results: On an average 0.2±0.09 coils were found per cm
of coil. Hypocoiling was found to be significantly associated
with anaemia, abruption, prematurity, Premature Rupture of
Membranes (PROM), meconium stained liquor, instrumental
delivery and APGAR at 5 minutes <7. Hypercoiling was found
to be associated with diabetes and post datism.
Conclusion: Post delivery umbilical coiling index serves as
a significant indicator of perinatal outcome and therefore
antenatal determination of UCI can help identify high risk
pregnancies. |
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| ISSN: | 2277-8527 2455-6890 |