Association of postnatal umbilical coiling index with maternal &amp; perinatal outcome

Khan, Tazeen; Thakur, Ratnamala

doi:10.33545/gynae.2019.v3.i1c.25

Cited by 5 publications

(7 citation statements)

References 17 publications

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“…11 This was in correlation with Mittal et al and Pergialiotis et al 12,13 However, in the present study, there was no such significance. Khan et al concluded that there was no significant association between mode of delivery and umbilical cord coiling index which was in correlation with the study done by Dijk et al 14,15 The present study also concluded the same. A study conducted by Razak K et al stated that hypocoiled cords were associated with more number of low birth weight babies.…”

Section: Resultssupporting

confidence: 91%

Antenatal umbilical cord coiling index as a predictor of pregnancy outcome

Aanandini¹,

John

Rathod³

2021

IJOGR

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: Fetal compromise as a major contributor to neonatal morbidity is of great concern for obstetricians. Antenatal risk assessment profiles are often insufficient in picking up these cases and hence need to be improved. Antenatal Umbilical cord Coiling Index (AUCI) is one such potential predictor which helps in identifying pregnant women who need close antepartum and intrapartum monitoring. It is determined by ultrasonogram antenatally and noted to be fixed throughout the pregnancy. This study aims at determining the association between AUCI and pregnancy outcome.: This was a hospital based prospective analytical study conducted in a tertiary care centre in Pondicherry from January 2019 to May 2020. 207 pregnant women were included in the study and Colour doppler was performed and AUCI was noted. Participants were followed until delivery and pregnancy outcomes were noted.: Chi square and Fischer exact test: In the present study, among 207 subjects, 166 had normal AUCI i.e., 0.41 to 0.61. Hypocoiling was noted in 20 (< 0.41) and hypercoiling in 21(>0.61) subjects. Hypocoiling was associated with hypertension and oligohydramnios in10% cases each. Nonreasssuring fetal (NRFHR) heart rate, meconium stained liquor and low APGAR values were present in 15, 20 and 10% cases respectively. Hypercoiling was associated with diabetes (10%), hypertension (5%), oligohydramnios (10%), polyhydramnios (5%), NRFHR (10%) and meconium stained liquor (5%). However, there was no statistical significance among the above mentioned parameters.

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Section: Resultssupporting

confidence: 91%

Antenatal umbilical cord coiling index as a predictor of pregnancy outcome

Aanandini¹,

John

Rathod³

2021

IJOGR

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“…In this study, statistically significant association was seen between hypercoiling and anemia (p = 0.005) whereas no association was found in study conducted by Chitra et al 1 The mean birth weight in this study was 2671 ± 5.9 gm with hypercoiling being significantly associated with LBW (p = 0.016). Consistent findings were reported by Mittal et al, 7 Khan and Thakur, 14 and Agarwal et al 15 It has been observed that if coiling is increased beyond a certain limit, the uteroplacental flow decreases, leading to LBW.…”

Section: Number Of Vascular Coils In the Cordsupporting

confidence: 82%

“…Similar findings were noted by study conducted by Khan and Thakur. 14 In this study, no significant association was found between UCI and preterm labor, whereas in a study by Strong et al 3 and de Laat et al 9 association was seen between hypocoiling and preterm labor although no satisfactory explanation was found.…”

Section: Discussioncontrasting

confidence: 61%

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Study of Postnatal Umbilical Coiling Index and Its Correlation with Maternal and Perinatal Outcome

More¹,

Makde²,

Sharma³

et al. 2023

Journal of South Asian Federation of Obstetrics and Gynaecology

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Aim: To study of postnatal umbilical coiling index (pUCI) and its association between maternal high-risk factors and neonatal outcome. Materials and methods:A prospective analytical study was conducted after ethical clearance over a period of 6 months among 150 women giving birth in the labor room of a tertiary care center in Mumbai, Maharashtra, India. The pUCI was determined by dividing the total number of coils by the total umbilical cord length in centimeters. Its association with maternal high-risk factors and fetal outcome was noted. The statistical test was the Chi-squared test and was assessed with a statistical package for the social sciences (SPSS), version 26; p < 0.05 was considered significant. Results: The mean pUCI was 0.257 ± 0.09. The cutoff for the tenth percentile was 0.157 and the nineteenth percentile was 0.367. Hypocoiling was significantly associated with hypertensive disorder in pregnancy (HDP), gestational diabetes mellitus (GDM), and post-term pregnancy, while anemia is associated with hypercoiling. Adverse neonatal outcomes including low birth weight (LBW), intrauterine fetal death, low appearance, pulse, grimace, activity, and respiration (APGAR) score at 1 minute, and neonatal intensive care (NICU) admission are associated with hypercoiling. Meconium-stained amniotic fluid (MSAF) is significantly associated with hypocoiling. Conclusion:Abnormal pUCI translates reliably into many maternal high-risk factors and perinatal outcomes. Antenatal assessment of umbilical coiling index (UCI) can be used as a prognostic tool to help predict and prevent adverse perinatal outcomes so as to improve maternal and fetal well-being by providing a healthy pregnancy which is the right of every birthing mother. Clinical significance: Antenatal determination of UCI can help identify high-risk pregnancies to be managed with greater vigilance and monitoring.

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“…The umbilical cord (UC), along with the placenta, is the only organ that dies when life begins. Although the umbilical cord is one of the most interesting organs in humans, it remains one of the least studied structures (Khan and Thakur, 2019).…”

Section: Introductionmentioning

confidence: 99%

Umbilical Coiling Index, A Predictor of Perinatal Outcome

Inamdar¹,

Agarwal²,

Tembhare³

et al. 2020

ijrps

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Umbilical cord (UC) represents the “life source”, or the “entry and exit” point of humans which is the only source of energy. It is essential for the development, well-being, and survival of the nourishing baby. The characteristic of the coiling of the umbilical cord makes the cord a structure that is both ﬂexible and strong and provides resistance to external forces which could compromise the blood ﬂow to the foetus. UC is vulnerable to kinking, compressions, traction, and torsion, which may affect the intrauterine life and perinatal outcome due to coiling. One complete spiral of 360º of the umbilical vessels around each other is defined as Umbilical Coil. Abnormal coiling is defined as UCI less than the 10th percentile (i.e., Hypocoiled cord), UCI more than the 90th percentile (i.e., Hypercoiled cord), and the UCI between 10th and 90th percentile is Normocoiled cord. According to the literature studies, hypercoiled cords are usually associated with intrapartum foetal acidosis and asphyxia, foetal growth restriction, vascular thrombosis, and cord stenosis while the increased incidence of foetal demise, intrapartum FHR deceleration, low APGAR scores, preterm delivery, chorioamnionitis, structural and chromosomal abnormalities, and operative delivery have been associated more with hypocoiled cords. Hence, if the umbilical coiling index can be measured reliably in utero by ultrasound antenatally, then in future, it might become a promising prognostic marker for a better pregnancy and adverse foetal outcome.

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Association of postnatal umbilical coiling index with maternal & perinatal outcome

Cited by 5 publications

References 17 publications

Antenatal umbilical cord coiling index as a predictor of pregnancy outcome

Antenatal umbilical cord coiling index as a predictor of pregnancy outcome

Study of Postnatal Umbilical Coiling Index and Its Correlation with Maternal and Perinatal Outcome

Umbilical Coiling Index, A Predictor of Perinatal Outcome

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