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Updated: Feb 14, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Association between the macroscopic characteristics of the umbilical cord, high-risk pregnancy and neonatal
Ana Karina Marques Salge1, Marilya Rodrigues Reis2, Karina Machado Siqueira1
1Universidade Federal de Goiás, Faculdade de Enfermagem, Goiânia, GO, Brasil.
Objective:
To verify the association between the macroscopic characteristics of the umbilical cord, high-risk pregnancy and neonatal repercussions.
Method:
A cross-sectional study carried out from January 2012 to January 2015 in a public maternity hospital in Goiânia/GO. The study population consisted of 126 recent puerperal women with diagnosis of high-risk pregnancy, and 139 clinically normal women (control group). Macroscopic features of the umbilical cord, maternal, fetal and neonatal diseases, gestational age, Apgar score, birth weight, head circumference and parity were evaluated. Data were descriptively analyzed.
Results:
265 puerperal women and their respective newborns participated in the study. The most frequent characteristics of the umbilical cord of those with high-risk pregnancy and those from the control group were the absence of true knots (97.6% and 2.4%, respectively), length between 35 and 70 centimeters and paracentral insertion (81.7% and 18.3%). A statistical difference was observed between the high-risk pregnancy group and extremes of maternal age (p=0.004).
Conclusion:
The analysis and description of the characteristics of the umbilical cord carried out by the nurse lend important information about the neonatal prognosis. This evaluation subsidizes clinical practice and seeks to ensure the safety of the (mother-baby) binomial throughout the perinatal period.
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