Prenatal Echo-Sonographic Parameters in Fetuses Wrapped with the Umbilical Cord in the Third Trimester of Pregnancy
This study constitutes a description of prenatal echo-sonographic parameters in fetuses wrapped with the umbilical cord in the third trimester of pregnancy and demonstrates the practical importance of the umbilical cord collision. Echocardiographic examinations were performed within 6 months, and a...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/19/6170 |
| _version_ | 1797575687968653312 |
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| author | Julia Murlewska Oskar Sylwestrzak Sławomir Witkowski Maria Respondek-Liberska Maciej Słodki Iwona Strzelecka |
| author_facet | Julia Murlewska Oskar Sylwestrzak Sławomir Witkowski Maria Respondek-Liberska Maciej Słodki Iwona Strzelecka |
| author_sort | Julia Murlewska |
| collection | DOAJ |
| description | This study constitutes a description of prenatal echo-sonographic parameters in fetuses wrapped with the umbilical cord in the third trimester of pregnancy and demonstrates the practical importance of the umbilical cord collision. Echocardiographic examinations were performed within 6 months, and a group of patients in the third trimester with a mean age of 28.1 ± 0.79 weeks of gestation (<i>p</i> = 0.075) was distinguished. The group included 46 fetuses from single pregnancies with the umbilical cord around the fetal neck and 70 fetuses without the umbilical cord around the fetal neck. The course of the umbilical cord coiling around the fetal neck was recorded by color Doppler. We also conducted a follow-up with the newborns. In the study group, there was an elevated peak systolic velocity of the umbilical artery (UMB PSV) at a level of 44.17 cm/s vs. 38.90 cm/s in the control group (<i>p</i> = 0.004), and caesarean sections were significantly more frequent (54.5% vs. 31.4%). The persistence of the nuchal cord during delivery was observed in 37% of newborns in the study group, while the occurrence of umbilical wrapping during delivery was found in 18.6% of newborns in the control group (<i>p</i> = 0.027). In the studied cases, caesarean sections were 2.62 times more frequent (OR = 2.62), whereas nuchal cords during delivery were 2.57 times more often observed (OR = 2.57). Fetal umbilical cord wrapping in the third trimester of pregnancy does not have a significant hemodynamic impact; however, the UMB PSV might be slightly elevated in this group, and the frequency of umbilical cord collision during delivery and the need to perform a caesarean section at term seem to be more common. |
| first_indexed | 2024-03-10T21:41:48Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T21:41:48Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-765a957ad596483684cd6f0f6dcc45642023-11-19T14:35:04ZengMDPI AGJournal of Clinical Medicine2077-03832023-09-011219617010.3390/jcm12196170Prenatal Echo-Sonographic Parameters in Fetuses Wrapped with the Umbilical Cord in the Third Trimester of PregnancyJulia Murlewska0Oskar Sylwestrzak1Sławomir Witkowski2Maria Respondek-Liberska3Maciej Słodki4Iwona Strzelecka5Department of Prenatal Cardiology, Polish Mother’s Memorial Hospital Research Institute, 93-338 Lodz, PolandDepartment of Prenatal Cardiology, Polish Mother’s Memorial Hospital Research Institute, 93-338 Lodz, PolandDepartment of Prenatal Cardiology, Polish Mother’s Memorial Hospital Research Institute, 93-338 Lodz, PolandDepartment of Prenatal Cardiology, Polish Mother’s Memorial Hospital Research Institute, 93-338 Lodz, PolandDepartment of Prenatal Cardiology, Polish Mother’s Memorial Hospital Research Institute, 93-338 Lodz, PolandDepartment of Prenatal Cardiology, Polish Mother’s Memorial Hospital Research Institute, 93-338 Lodz, PolandThis study constitutes a description of prenatal echo-sonographic parameters in fetuses wrapped with the umbilical cord in the third trimester of pregnancy and demonstrates the practical importance of the umbilical cord collision. Echocardiographic examinations were performed within 6 months, and a group of patients in the third trimester with a mean age of 28.1 ± 0.79 weeks of gestation (<i>p</i> = 0.075) was distinguished. The group included 46 fetuses from single pregnancies with the umbilical cord around the fetal neck and 70 fetuses without the umbilical cord around the fetal neck. The course of the umbilical cord coiling around the fetal neck was recorded by color Doppler. We also conducted a follow-up with the newborns. In the study group, there was an elevated peak systolic velocity of the umbilical artery (UMB PSV) at a level of 44.17 cm/s vs. 38.90 cm/s in the control group (<i>p</i> = 0.004), and caesarean sections were significantly more frequent (54.5% vs. 31.4%). The persistence of the nuchal cord during delivery was observed in 37% of newborns in the study group, while the occurrence of umbilical wrapping during delivery was found in 18.6% of newborns in the control group (<i>p</i> = 0.027). In the studied cases, caesarean sections were 2.62 times more frequent (OR = 2.62), whereas nuchal cords during delivery were 2.57 times more often observed (OR = 2.57). Fetal umbilical cord wrapping in the third trimester of pregnancy does not have a significant hemodynamic impact; however, the UMB PSV might be slightly elevated in this group, and the frequency of umbilical cord collision during delivery and the need to perform a caesarean section at term seem to be more common.https://www.mdpi.com/2077-0383/12/19/6170umbilical arteryTei indexumbilical cord around fetal neckfetal echonormal heart anatomycaesarean section |
| spellingShingle | Julia Murlewska Oskar Sylwestrzak Sławomir Witkowski Maria Respondek-Liberska Maciej Słodki Iwona Strzelecka Prenatal Echo-Sonographic Parameters in Fetuses Wrapped with the Umbilical Cord in the Third Trimester of Pregnancy Journal of Clinical Medicine umbilical artery Tei index umbilical cord around fetal neck fetal echo normal heart anatomy caesarean section |
| title | Prenatal Echo-Sonographic Parameters in Fetuses Wrapped with the Umbilical Cord in the Third Trimester of Pregnancy |
| title_full | Prenatal Echo-Sonographic Parameters in Fetuses Wrapped with the Umbilical Cord in the Third Trimester of Pregnancy |
| title_fullStr | Prenatal Echo-Sonographic Parameters in Fetuses Wrapped with the Umbilical Cord in the Third Trimester of Pregnancy |
| title_full_unstemmed | Prenatal Echo-Sonographic Parameters in Fetuses Wrapped with the Umbilical Cord in the Third Trimester of Pregnancy |
| title_short | Prenatal Echo-Sonographic Parameters in Fetuses Wrapped with the Umbilical Cord in the Third Trimester of Pregnancy |
| title_sort | prenatal echo sonographic parameters in fetuses wrapped with the umbilical cord in the third trimester of pregnancy |
| topic | umbilical artery Tei index umbilical cord around fetal neck fetal echo normal heart anatomy caesarean section |
| url | https://www.mdpi.com/2077-0383/12/19/6170 |
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