Study to evaluate association of umbilical coiling index and perinatal outcome

Chholak, Deepika; Gupta, Pratiksha; Khajotia, Santosh

doi:10.18203/2320-1770.ijrcog20170025

Cited by 11 publications

(9 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Monique et al [14] found that hypocoiling was associated with small for gestational age infants. Chholak D et al [2] , Georgiou et al [13] , Shayesta Rahi et al [16] , and Ezimokhai M et al [17] obtained similar results in their studies Meconium staining of the amniotic fluid was found to be associated with Hypocoiled Umbilical Cords (p value 0.003) in our study. Similar findings were noted in studies done by Strong et al [10] and Ezimokhai et al [17] .…”

Section: Discussionsupporting

confidence: 85%

Association of postnatal umbilical coiling index with maternal & perinatal outcome

Khan¹,

Thakur²

2019

Int. J. Clin. Obstet. Gynaecol.

View full text Add to dashboard Cite

To measure umbilical coiling index (UCI) postnatally and to study the association of normocoiling, hypo coiling and hyper coiling to maternal and perinatal outcome. Method: Two hundred antenatal women who went into labour were studied and umbilical coiling index calculated at the time of delivery. UCI was determined by dividing the total number of coils by the totalumbilicalcordlengthincentimetres.Itsassociationwithselected maternal risk factors and fetal outcome were noted. The statistical tests were the Chi-square test and assessed with SPSS version 13.0 software and statistically analysed. P value of less than 0.05 was regarded as statistically significant. Results: The mean umbilical coiling index was found to be 52.87 + 9.40 cms. The mean number of coils per umbilical cord was found to be 10.19 + 1.38. The mean UCI was 0.19+0.1 coils/cm. The cut off for 10 th percentile was 0.05and 19 patients (9.5%) had Hypocoiled Umbilical Cord. The cut off for 90 th percentile was 0.32 and 20 patients (10.0%) had Hypercoiled Umbilical Cords. Hypocoiled cords were associated with Postdated Gestations, Oligohydramnios, Meconium stained liquor, Intrapartum fetal distress. While hypercoiling was associated with Pregnancy induced hypertension, Abruptio placentae, Fetal Growth Restriction, low birth weight, low APGAR scores & NICU admissions. There was no significant association between Maternal age, Gravidity, Maternal Anaemia, Gestational Diabetes Mellitus, Hypothyroidism, Polyhydramnios, PROM& mode of delivery. Conclusion:Postnatal umbilical coiling index serves as a significant indicator of maternal risk factors and fetal outcome and therefore antenatal determination of UCI can help identify high risk pregnancies to be managed with greater vigilance and monitoring.

show abstract

Section: Discussionsupporting

confidence: 85%

Association of postnatal umbilical coiling index with maternal & perinatal outcome

Khan¹,

Thakur²

2019

Int. J. Clin. Obstet. Gynaecol.

View full text Add to dashboard Cite

show abstract

“…Ezimokhai M et al and Chholak D et al obtained similar results in their studies. 4,11 In present study, 60% of babies in hypercoiled group had birth weight <2.5kgs and none from hypocoiled group had birth weight <2.5kgs, which was statistically significant (p value <0.001). Similar association between hypercoiling and low birth weight was seen in studies conducted by Rana J et al and Raio L et al 6,12 In present study percentage of NICU admission was more (40%) in both hypocoiled and hypercoiled groups as compared to normocoiled group.…”

Section: Discussionsupporting

confidence: 45%

Relationship of umbilical coiling index and perinatal outcome

Rahi

Akther

2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: In placental mammals, the umbilical cord is a conduit between the developing embryo or foetus and the placenta. Present work was done to study the association of umbilical coiling index and perinatal outcome.Methods: One hundred umbilical cords were examined. The umbilical coiling index was calculated, by dividing the total number of coils by the total length of the cord in centimetres. The umbilical coiling index <10th percentile and >90th percentile was considered as hypocoiled and hypercoiled, respectively. The outcomes measured in terms of birth weight, Apgar score, meconium staining, Intrauterine growth restriction, gestational age at birth and Neonatal intensive care unit admission.Results: The mean umbilical cord length was 51.2 cms, mean number of coils 10.8 and mean umbilical coiling index 0.2. 80 umbilical cords showed normocoiling, 10 hypercoiling and 10 had hypocoiling. Meconium stained liquor was present in 80%, 37.5% and 20% in hypocoiling, normocoiling and hypercoiling group, respectively, with p valve of <0.05. 40% of babies with hypocoiling cords had Apgar at 1 minute <4 and apgar score at 5 minutes <7. Intrauterine growth restriction and low birth weight babies were significantly higher in hypercoiling group. Neonatal intensive care unit admission was higher (40%) in both hypocoiling and hypercoiling group as compared to normocoiling group (10%).Conclusions: Present study thus shows abnormal coiling index is associated with adverse perinatal outcome.

show abstract

“…Additionally, Chholak et al found that hypercoiled and IUGR had a significant relationship with hypochondrium, meconium excrement, apheresis below seven in the first and fifth minutes, and the need for admission to NICU (24).…”

Section: Discussionmentioning

confidence: 99%

Association Between Umbilical Cord Coiling Index and Prenatal Outcomes

Milani

Sharami

Lili

et al. 2018

International Journal of Women’s Health and Reproduction Scienc

View full text Add to dashboard Cite

Objectives: This study aimed to measure the umbilical cord indices (UCIs) after birth and to determine its relationship with prenatal complications. Materials and Methods: The present analytical cross-sectional study was conducted on all the pregnant women admitted to AlZahra hospital of Rasht. After birth, the umbilical cord was measured in terms of the appearance, number of vascular coils, and umbilical cord length. In addition, the umbilical cord vascular coils index was calculated. Further, maternal and neonatal variables were evaluated. Results: The mean number of umbilical cord coils, umbilical cord length, and the umbilical cord coiling index for 397 umbilical cords were obtained as 16.02 ± 4.48, 51.6 ± 12.0 and 0.31 ± 0.05 cm, respectively. In evaluating the state of the coil, 9.8% were found as hypocoil while the remaining were either hypercoil (10.3%) or normocoil (79.85%). Furthermore, a significant difference was observed between the umbilical cord coiling index, as well as gestational hypertension and abnormal fetal heart rate (HR) (P < 0.05). In the final logistic regression model, the umbilical cord length was recognized as a predictor variable for neonatal complications. Moreover, in multiple analyses regarding the effects of umbilical cord coiling index on neonatal complications by controlling the interferences, variables such as maternal age and parity in addition to the coil length were considered as predictors of neonatal complications. Conclusions: Generally, the abnormal umbilical cord coiling index was associated with pregnancy blood pressure (BP) and abnormal fetus HR. Therefore, diagnosing antenatal umbilical cord coiling index can be helpful in recognition of embryos at risk through a faster treatment process.

show abstract

Study to evaluate association of umbilical coiling index and perinatal outcome

Cited by 11 publications

References 4 publications

Association of postnatal umbilical coiling index with maternal & perinatal outcome

Association of postnatal umbilical coiling index with maternal & perinatal outcome

Relationship of umbilical coiling index and perinatal outcome

Association Between Umbilical Cord Coiling Index and Prenatal Outcomes

Contact Info

Product

Resources

About