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Published on: November 20, 2015
Impact of cord entanglement on perinatal outcome
Reem Zabit1, Dan Tirosh1, Neta Benshalom-Tirosh1
1Department of Obstetrics and Gynecology, Soroka University Medical Center, Ben-Gurion University of the Negev, Rager Boulevard, PO Box 151, Beer-Sheva 84101, Israel.
Objective:
To evaluate the impact of umbilical cord entanglement around various fetal organs on perinatal outcomes.
Study Design:
A retrospective population-based study of all deliveries between 1988 and 2016 at a tertiary medical center. Immediate perinatal outcomes of newborns with and without cord entanglement were compared.
Results:
The prevalence of any cord entanglement in our population was 16.62 % (45,312 cases out of 272,713 deliveries during the study period). Cord entanglement was found to be significantly associated with antepartum fetal death (OR = 2.13, 95 % CI 1.77-2.57, p < 0.001) and one-minute Apgar score less than 7 (OR = 1.21, 95 % CI 1.16-1.27, p < 0.001). There was no association between cord entanglement and small for gestational age (SGA) babies.
Conclusion:
Cord entanglement is associated with antepartum fetal death, but not with SGA.
