Evaluation of umbilical cord entanglement as a predictive factor of adverse pregnancy outcomes: A meta-analysis

Pergialiotis, Vasilios; Fanaki, Maria; Bellos, Ioannis; Tzortzis, Andrianos; Loutradis, Dimitrios; Daskalakis, Georgios

doi:10.1016/j.ejogrb.2019.10.038

Cited by 13 publications

(16 citation statements)

References 22 publications

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“…20 Pergialiotis and colleagues also found that the cord entanglement is associated with the poor neonatal perinatal outcome. 21 It was observed in the current study that the fetuses who have more than two loops of cord there is significant increase in rate of Caesarean section and fetal distress manifested by the CTG abnormalities which is supported by the results of Schreiber and colleagues, 22 Sepulveda W 23 and Weiner and colleagues. 24 We found significantly increased risk of CTG abnormalities if the cord is tight and the tight loops are also found to be associated with the significant increase in rate of Caesarean section without decrease in apgar score and the increase in the NICU admission.…”

Section: Discussionsupporting

confidence: 81%

Nuchal Cord and Perinatal Outsome - A Case Control Study

Najam¹,

Malik²,

Solangi³

et al. 2020

BIOMEDICA

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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.

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Section: Discussionsupporting

confidence: 81%

Nuchal Cord and Perinatal Outsome - A Case Control Study

Najam¹,

Malik²,

Solangi³

et al. 2020

BIOMEDICA

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“…According to some studies, the risk of Cesarean section (CS) is lower among women whose labour was induced than among those expectantly managed in term and post-term pregnancies with the benefits to the fetus and no increased risk of maternal death [5]. Induction of labour, regardless of the method used, is associated with a higher risk of postpartum haemorrhage [6], failed induction of labour [7], increased risk of CS [8], uterine hyperstimulation [9], increased risk of cord prolapse [10] and increased risk of uterine rupture [11].Labour induction is the most common interventional procedure in obstetrics. It is applied in 20% to 25% of all pregnancies [12].…”

mentioning

confidence: 99%

Indications of Labor Induction at Delivery Room of Maternity Teaching Hospital in Erbil City

Noori

Saeed

2021

Erbil j. nurs. midwifery

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Background and objectives: Induction of labour means stimulation of contractions before the birth starts spontaneously, with or without ruptured membranes. The most common indications include oligohydramnios, pre-labour rupture of the membranes, high blood pressure during pregnancy, severe fetal growth restriction, post-term pregnancy, and var-ious maternal medical conditions such as chronic hypertension and diabetes. The aim of the study was to find out the different indications of labour and associated obstetrical factors in a local tertiary hospital. Methods: A cross-sectional study was conducted among 120 parturient women who attended a delivery room in the Maternity Teaching Hospital in Erbil City from the period of 2nd June to 2nd October 2020. After reviewing the literature, a questionnaire was pre-pared to obtain socio-demographic data, data related to reproductive characteristic and data related to the indications for labour induction. The data were analyzed using descrip-tive and inferential statistical approaches. Results: The study included 120 patients with the highest percentage of the patients (49.1%) were 16 to 23 years old and more than half of the sample (51.6%) had a post-term pregnancy, gestational hypertension and pre-eclampsia (15%). There were highly significant statistical differences between parity, gestational age and indication of labour induction, and significant differences between gravidity and antenatal care visits and indi-cations for labour induction. Conclusions: The majority of the sample had a post-term pregnancy of 40 and 42 weeks as an indication for induction of labour followed by gestational hypertension and pre-eclampsia, oligohydramnios and pre-labour rupture of membrane. There was a statistical-ly significant difference between the antenatal care visit and parity with the induction of labour.

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“…SC improves uterine blood supply through vasodilatation and potentially could improve placental perfusion and hence reduce the risk of intrapartum fetal hypoxia (Dunn, Flenady and Kumar, 2016). Study of Pergialiotis, et al showed that there was involvement of cord entanglement to adverse neonatal perinatal outcomes.Fetal distress was significantly higher in the entanglement group (RR 1.50, 95% CI 1.33, 1.69) (Pergialiotis et al, 2019).…”

Section: Risk Factorsforfetal Distress During Intrauterineinclude (1) Umbilical Cord Wrappingmentioning

confidence: 94%

Risk Factors for Incidence of Intrauterine Fetal Distress in Hospital of Pamekasan

Ma’roef¹

2021

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Fetal distress during intrauterine is related to many factors. Knowing the risk factors will provide an effort to prevent and detect early fetal distress cases. The objective was to determine the risk factors for fetal distress during intrauterine treatment at dr. H. Slamet Martodirdjo Pamekasan. The method used is analytic observational with a cross-sectional method and the sample is simple random sampling. Samples taken were 184 patients in the delivery room dr. H. Slamet Martodirdjo general hospital Pamekasan. Data was taken by observation from patient medical records during 2018. Through this study, 92 patients experienced intrauterine fetal distress. The main risk factors for fetal distress was umbilical cord twists (p: 0.003, OR: 6,857, 95% CI: 1,914-24,572) and protective factors were maternal anemia (p: 0.018, OR: 0.141, 95% CI : 0.028-0.714). There are several risk factors for fetal distress during the intrauterine process at dr. H. Slamet Martodirdjo Pamekasan, the main factor was umbilical cord twisting where pregnant women with umbilical cord twists have a 6 times risk of experiencing fetal distress compared to those who do not.

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Evaluation of umbilical cord entanglement as a predictive factor of adverse pregnancy outcomes: A meta-analysis

Cited by 13 publications

References 22 publications

Nuchal Cord and Perinatal Outsome - A Case Control Study

Nuchal Cord and Perinatal Outsome - A Case Control Study

Indications of Labor Induction at Delivery Room of Maternity Teaching Hospital in Erbil City

Risk Factors for Incidence of Intrauterine Fetal Distress in Hospital of Pamekasan

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