Perinatal outcome associated with nuchal umbilical cord

Clin Exp Obstet Gynecol. 2012;39(4):494-7.

Abstract

Introduction: Nuchal umbilical cord (NUC) is a possible complication of pregnancy which can be associated with adverse perinatal outcome.

Materials and methods: A retrospective study was done at the County Emergency Hospital Timisoara, Romania, between January 2009 and December 2010 and included cases with NUC at the time of delivery. Outcome variable related to the mothers and newborns were studied.

Results: The incidence of NUC in the studied period was 8%. Most were primiparous. There were no significant statistical differences between vaginal births and cesarean section with one minute Apgar scores higher than 8. Five percent of the studied group presented intrauterine fetal death.

Conclusions: The presence of NUC implies more attention but are not associated with increased rate of operative vaginal or cesarean delivery. One minute Apgar scores in these cases are comparable. NUC can be a cause of IUFD.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Apgar Score
  • Cesarean Section
  • Delivery, Obstetric
  • Female
  • Fetal Death / etiology
  • Fetal Distress / etiology
  • Humans
  • Nuchal Cord / complications*
  • Pregnancy
  • Pregnancy Outcome*