Ultrasonographic detection of nuchal cord: required or not

Cord Length, Umbilical Artery Lactate Concentration and Perinatal Outcomes of Babies with Nuchal Cord at Ile-Ife, Nigeria

“…While a study reported significantly higher adverse obstetric outcomes, [14] others could not corroborate this assertion. [3,15] In the present study, the findings support increased risks of adverse outcomes. It is indeed possible that the impact of nuchal cords on obstetric outcomes may also depend on other factors that transcend how tightly wound the cord is or the number of loops.…”

“…Most of the neonates in this study had a single loop of nuchal cord, in tandem with the findings from an earlier study which reported the incidence of single cord loop to be 77% of all babies born with nuchal cord. [3] Also, as reported earlier, the number of nuchal loops did not correlate with the risk of stillbirths, [3] further indicating that other factors may contribute to the dangers of adverse outcomes beyond the number of nuchal loops.…”

“…While there are clear guidelines on the assessment, preventive steps and management of cord presentation and cord prolapse, [1] there is equipoise on how best to manage foetuses with prenatally diagnosed nuchal cords, defined as the presence of encircling loop(s) of umbilical cord around the foetal neck. [3] An Indian study reported nuchal cord incidences of 5.32%, 1.14%, and 0.17% for one, two and three cord loops, respectively. [3] Nuchal cords with four or more loops around the foetal neck are rare, although six, eight and nine loops have been reported previously.…”

“…[3] An Indian study reported nuchal cord incidences of 5.32%, 1.14%, and 0.17% for one, two and three cord loops, respectively. [3] Nuchal cords with four or more loops around the foetal neck are rare, although six, eight and nine loops have been reported previously. [4,5] Although the determinant of the number of nuchal loops remains unclear, it is proposed that this may be directly related to the length of the umbilical cord.…”

Nuchal Cord and Perinatal Outsome - A Case Control Study

“…This is in contrary to the study by Joshi and colleagues 4 who found no increase in the rate of Caesarean section but poor neonatal outcome was observed in terms of the low apgar score. Pessay M, 25 and Sangwan and colleagues 26 also found the increased neonatal morbidity associated with the tight loop of the cord. As the number of the patients who have the tight loop in the present study was low so more studies with tight loop of the cord are required to have the conclusive evidence.…”