Umbilical Cord Thickness, Cross Sectional Area and Coiling Index by Second Trimester Ultrasonography as Predictors of Perinatal Outcome
European Journal of Molecular & Clinical Medicine,
2023, Volume 10, Issue 4, Pages 566-589
AbstractPresent study was carried out to determine the fetomaternal outcome in relation to cord indices (Umbilical Cord Thickness, Cross Sectional Area and Coiling Index ) measured during the second trimester (18-24 weeks) ultrasonography.
Material & Methods: It was a prospective observational study conducted between JULY 1ST, 2021 TO JUNE 30th, 2022 at Department of Obstetrics and Gynecology, Gauhati Medical College and Hospital, Guwahati. During the study period, we included 500 consecutive women eligible to participate in the study.
Results: The mean age was found to be 25.57 with a SD of 3.174, the minimum age being 19 years and maximum age was 34 years. In the study, 6(1.2%) participants, 464(92.8%) participants and 30(6%) participants were <10th percentile (hypocoiled), 10th to 90th percentile (normocoiled) and >90th percentile (hypercoiled) of coiling index. In the study, 35(7%) participants, 429(85.8%) participants and 36(7.2%) participants were <10th percentile,10th to 90th percentile and >90th percentile of cross sectional area. In the study, 30(6%), 447(89.4%) and 23(4.6%) were <10th percentile,10th to 90th percentile and >90th percentile of cord thickness. Abnormal cord indices are significantly associated with meconium stained liquor, LBW/IUGR, Low APGAR scores, increased NICU admissions, neonatal death, congenital anomalies and even intra-uterine fetal demise.
Conclusion: It has been concluded that abnormal cord indices are very strongly associated with adverse perinatal outcome and maternal complications. Hence, USG in the second trimester has a very potential value in screening these adversities
- Article View: 16
- PDF Download: 31