Neonatal outcome in cases of nuchal cord in Cameroon

Risk factors for nuchal cord entanglement at delivery

“…Nuchal cord entanglement, defined as the umbilical cord being wrapped 360 degrees around the fetal neck at least once, is the most frequent cord accident. Indeed, its frequency at term varies between 5.5% and 22.8%…”

Predictive factors for perinatal death in nuchal cord cases: a case control study

“…7,9 Statistical analyses were done using Epi info 3.5.4 and SPSS version 20.0 software. The difference was statistically significant for P<0.05.…”

“…[1][2][3][4][5][6] In Cameroon, the reported incidence of nuchal cord at delivery varies according to different authors from 5.5% to 16.2%. [6][7][8] Maternal age <20 years, first delivery, absence of obstetrical ultrasound during pregnancy; nuchal cord with more than one loop, tight nuchal cord, duration of second stage of labor more than 30 minutes during vaginal delivery have been identified in a previous study as risk factors of birth asphyxia and subsequent newborn death. 6 However, the perinatal period as a whole was not considered, and a multivariate analysis was not done to identify independent risk factors.…”

Two-Dimensional Ultrasonography in the Assessment of Nuchal Cord

“…Cord accidents increase perinatal morbidity and mortality [1,2]. The most frequent cord accident is nuchal cord [2].…”

“…The most frequent cord accident is nuchal cord [2]. Antenatal diagnosis through ultrasonography-although not always easy-requires good follow up of pregnancy during the last few weeks of and during delivery [3][4][5].…”