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Perinatal outcome associated with nuchal umbilical cord
E S Bernad1, M Craina, A Tudor
1Department of Obstetrics and Gynecology, University of Medicine and Pharmacy Victor Babes, Timisoara, Romania. sbernad@mh.mec.upt.ro
Clinical and Experimental Obstetrics & Gynecology
|March 1, 2013
Summary
Nuchal umbilical cord (NUC) occurs in 8% of deliveries and requires attention, but does not increase operative delivery rates. While Apgar scores are comparable, NUC can lead to intrauterine fetal death.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Medicine
- Neonatal Outcomes
Background:
- Nuchal umbilical cord (NUC) is a recognized complication during pregnancy.
- NUC can potentially be linked to adverse perinatal outcomes.
Purpose of the Study:
- To investigate the incidence and outcomes associated with Nuchal umbilical cord (NUC).
- To assess the impact of NUC on delivery methods and neonatal well-being.
Main Methods:
- Retrospective study conducted at County Emergency Hospital Timisoara, Romania (January 2009 - December 2010).
- Inclusion of all cases with NUC at delivery.
- Analysis of maternal and newborn outcomes.
Main Results:
- The incidence of NUC was 8% in the studied population.
- No significant differences in one-minute Apgar scores between vaginal births and cesarean sections for NUC cases.
- Five percent of infants with NUC experienced intrauterine fetal death (IUFD).
Conclusions:
- Nuchal umbilical cord (NUC) necessitates increased clinical attention during pregnancy.
- NUC is not associated with a higher rate of operative vaginal or cesarean deliveries.
- NUC can be a contributing factor to intrauterine fetal death (IUFD).
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