Maternal and neonatal outcome in newborns with nuchal cord loop: a comparative study

Karunanidhi, Sangeetha; Ghose, Seetesh; Pallavee, P; Begum, Jasmina; Rathod, Setu

doi:10.18203/2320-1770.ijrcog20150439

Cited by 1 publication

(1 citation statement)

References 9 publications

(15 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On further analysis of data, 92.5% of loose nuchal cord group and 66.6% of tight nuchal cord group had normal vaginal delivery ( 8,9,[15][16][17][18] Of the 25 women who had LSCS, 23 (92%) women had tight loops of nuchal cord and only 2 (8%) women had loose nuchal cord. Instrumental delivery was required in 23 women in tight NC group and 10 in loose NC group (Table 6).…”

Section: Discussionmentioning

confidence: 99%

Nuchal cord: from dread towards confident management

Shilpa

Moin

Fatima

2020

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: This study was aimed at observing the outcomes of pregnancies with sonographically detected nuchal cord or cord around the neck at term. Early studies on nuchal cord showed many maternal and neonatal complications. But several recent studies have suggested that maternal and neonatal complications do not increase with nuchal cord at delivery. This ambiguity increases anxiety in treating obstetricians and relatives of pregnant women, thus leading to unnecessary caesarean sections. This study is intended to observe the maternal and neonatal outcomes of 300 pregnant women with sonographically detected nuchal cord at term. Methods: Prospective observational study where 300 term pregnant women with sonographically detected nuchal cord were observed through delivery at Shri Venkata Sai Medical College, Mahabubnagar, Telangana, during October 2016 to April 2018. Results: In this study 80.6% women had normal vaginal delivery, 8.3% had LSCS, 11% had instrumental deliveries. 54% had loose nuchal cord, 46% had tight loop of cord.60% had normal CTG, 8% had variable deceleration, 2% late deceleration. Neonatal morbidity was 9.6% and zero neonatal mortality. Conclusions:The study concluded that the presence of nuchal cord does not adversely affect the mother and the neonate. Presence of nuchal cord per se is not an indication for LSCS. Effect of nuchal cord on neonate is only transient. These women can be allowed for vaginal delivery with routine labour room protocols. Routine sonographycal detection of nuchal cord is not required and if it is reported, it should not dictate obstetric management.

show abstract

Section: Discussionmentioning

confidence: 99%