Dergiler / The European Research Journal / 2023 / Cilt: 9 Sayı: 5 - September 2023

Exploring the impacts of a nuchal cord on perinatal outcomes in vaginal delivery

Sayfa
1166–1170
Yayın Tarihi
2023-09-04
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

However, neonates with nuchal cord do not have significantly longer neonatal hospital stays, and thus the adverse effects of nuchal cord may be transient.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Objectives: To investigate the frequency of cord entanglement and neonatal outcomes in vaginal deliveries.
📊
Temel Bulgular & Veri:Methods: A total of 24,623 patients who had vaginal delivery at at Kayseri City Hospital between July 2018 and January 2023 were included in the study.
💡
Sonuç & Katkı:However, neonates with nuchal cord do not have significantly longer neonatal hospital stays, and thus the adverse effects of nuchal cord may be transient.
🔬Tür:Araştırma Makalesi
📍Kapsam:2018 Verileri
⚙️Değişkenler:Nuchal cord · vaginal delivery · meconium

Abstract

Objectives: To investigate the frequency of cord entanglement and neonatal outcomes in vaginal deliveries. Methods: A total of 24,623 patients who had vaginal delivery at at Kayseri City Hospital between July 2018 and January 2023 were included in the study. The incidence of nuchal cord was determined in the study group. The characteristics and perinatal outcomes of groups with and without nuchal cord were compared. Chi-square test was used for statistical evaluation. A p value less than 0.05 was considered significant in the evaluation. Results: The rate of cord entanglement in the neck at birth was 15.7%. There was no statistically significant difference between the infant weights, genders, maternal ages, hospitalization rates in the neonatal intensive care unit, and apgar scores at the 1st and 5th minutes of the babies included in the study. We detected amniotic fluid with meconium in 506 (13.1%) patients with a nuchal cord and 270 (1.3%) without a nuchal cord, and the difference was found to be significant. Conclusions: There is no significant relationship between vaginal deliveries with the nuchal cord and poor perinatal outcomes, except for meconium amniotic fluid. For this reason, pregnant women diagnosed with nuchal cord in the third trimester can deliver vaginally, but they should be carefully monitored in terms of meconium and related complications. However, neonates with nuchal cord do not have significantly longer neonatal hospital stays, and thus the adverse effects of nuchal cord may be transient.

🔖

Bu Makaleye Atıf Yap

CÜNDÜBEY, C. R., AK, M., DEMİR, M. B., ÇAM, Ş. D. (2023). Exploring the impacts of a nuchal cord on perinatal outcomes in vaginal delivery. The European Research Journal, Cilt: 9 Sayı: 5 - September 2023, 1166–1170. https://ajindex.com/articles/960994

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (16)

  1. Peesay M. Nuchal cord and its implications. Matern Health Neonatol Perinatol 2017;3:28
  2. Cunningham FG, Leveno KJ, Bloom SL, Dashe JS, Hoffman BL, Casey BM, et al. Williams Obstetrics. 25th ed., McGraw-Hill Education, 2018
  3. Clapp JF, Stepanchak W, Hashimoto K, Ehrenberg H, Lopez B. The natural history of antenatal nuchal cords. Am J Obstet Gynecol 2003;189:488-93
  4. Collins JH, Collins CL, Weckwerth SR, De Angelis L. Nuchal cords: timing of prenatal diagnosis and duration. Am J Obstet Gynecol 1995;173 (3 Pt 1):768
  5. Sheiner E, Abramowicz JS, Levy A, Silberstein T, Mazor M, Hershkovitz R. Nuchal cord is not associated with adverse perinatal outcome. Arch Gynecol Obstet 2006;274:81-3
  6. Shrestha NS, Singh N. Nuchal cord and perinatal outcome. Kathmandu Univ Med J 2007;5:360-3
  7. Lal N, Deka D, Mittal S. Does the nuchal cord persist? An ultrasound and color Doppler based prospective study. J Obstet Gynaecol Res 2008;34:314-7
  8. Schaffer L, Burkhardt T, Zimmermann R, Kurmanavicius J. Nuchal Cords in term and Postterm Deliveries- do we need to know? Obstet Gynecol 2005;106:23-8
  9. Spellacy WN, Gravem H, Fisch RO. The umbilical cord complications of true knots, nuchal coils, and cords around the body. Report from the collaborative study of cerebral palsy. Am J Obstet Gynecol 1966;94:1136-42
  10. Hankins GD, Snyder RR, Hauth JC, Gilstrap LC 3rd, Hammond T. Nuchal cords and neonatal outcome. Obstet Gynecol 1987;70: 687-91
  11. Singh G, Sidhu K. Nuchal cord: a retrospective analysis. Med J Armed Forces India 2008;64:237-40
  12. Gonzalez-Quintero VH, Tolaymat L, Muller AC, Izquierdo L, O’Sullivan MJ, Martin D. Outcomes of pregnancies with sonographically detected nuchal cords remote from delivery. J UltrasoundMed 2004;23:43-7
  13. Peregrine E, O’Brien P, Jauniaux E. Ultrasound detection of nuchal cord prior to labor induction and the risk of Cesarean section. Ultrasound Obstet Gynecol 2005;25:160-4
  14. American Academy of Pediatrics, American College of Obstetricians and Gynecologists. Guidelines for perinatal care. 6th ed. Elk Grove Village, IL: American Academy of Pediatrics, 2007
  15. Çetin H, Altın H. [Meconium aspiration syndrome]. S.D.Ü. Tıp Fak. Derg 2006;13:42-6. [Article in Turkish] 16. Ward M, Sinn J. Steroid therapy for meconium aspiration syndrome in newborn infants. CochrancDatabasc Syst Rev 2003;2003(4):CD003485
  16. Halliday HL, Speer CP, Robertson B. Treatment of severe meconium aspiarion syndrome with porcine surfactant. Eur J Pedi