Correlation between antenatal and postnatal coiling index and its role in prediction of perinatal outcome: A prospective cohort study
Background: The umbilical cord has pivotal role in the development, well-being, and survival of fetus and is vulnerable to kinking, torsion, and compression affecting perinatal outcome adversely. Aims and Objectives: This study was aimed to correlate the umbilical cord index measured antenatally...
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Manipal College of Medical Sciences, Pokhara
2025-02-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://ajmsjournal.info/index.php/AJMS/article/view/4283 |
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| author | Ankita Kumari Vani Aditya Shaila Mitra Garima Maurya Pratima Sharma Harish Chandra Tiwari |
| author_facet | Ankita Kumari Vani Aditya Shaila Mitra Garima Maurya Pratima Sharma Harish Chandra Tiwari |
| author_sort | Ankita Kumari |
| collection | DOAJ |
| description | Background: The umbilical cord has pivotal role in the development, well-being, and survival of fetus and is vulnerable to kinking, torsion, and compression affecting perinatal outcome adversely.
Aims and Objectives: This study was aimed to correlate the umbilical cord index measured antenatally using ultrasonography with that of the umbilical cord index measured postnatally and the association of this index with adverse fetal outcomes.
Materials and Methods: This prospective cohort study was conducted on 124 antenatal cases of age group 18–35 years with term gestation with singleton pregnancy that attendant the outpatients department and indoor of Department of Obstetrics and Gynecology, Nehru Hospital B.R.D. Medical College, Gorakhpur over a period of 1 year (2019–2020). After detailed history, examination, and required antenatal care investigations, Ultrasonographic examination was done and antenatal umbilical coiling index (UCI) was calculated. The cases were followed up till delivery and postnatal UCI was also calculated and fetomaternal outcome was noted. Statistical analysis: Appropriate tests were applied where ever necessary.
Results: The mean age was 25.71±4.30 years. The risk of preeclampsia, fetal growth restriction, oligohydramnios was significantly high with antenatal and postnatal hypocoiling (P<0.001) whereas the risk of gestational diabetes mellitus was significantly associated with antenatal and postnatal hypercoiling. The risk of low birth weight, preterm, low APGAR, neonatal intensive care unit admission and perinatal mortality were significantly high with postnatal hypocoiling (P<0.0001).
Conclusion: The present study concludes that abnormal UCI was associated with adverse perinatal outcomes. Quantification of degree of abnormal coiling in antepartum period is important. |
| format | Article |
| id | doaj-art-b29ab589e1cb4e008408a4f6edb6d1e0 |
| institution | Kabale University |
| issn | 2467-9100 2091-0576 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj-art-b29ab589e1cb4e008408a4f6edb6d1e02025-02-01T12:15:49ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762025-02-011628189https://doi.org/10.71152/ajms.v16i2.4283Correlation between antenatal and postnatal coiling index and its role in prediction of perinatal outcome: A prospective cohort studyAnkita Kumari 0https://orcid.org/0000-0002-9791-5041Vani Aditya 1https://orcid.org/0000-0002-0199-1673Shaila Mitra 2https://orcid.org/0000-0001-7328-3273Garima Maurya 3https://orcid.org/0000-0002-5173-8932Pratima Sharma 4https://orcid.org/0009-0005-3332-6933Harish Chandra Tiwari 5https://orcid.org/0000-0002-2038-7666Associate Professor, Department of Obstetrics and Gynecology, BRD Medical College, Gorakhpur, Uttar Pradesh, India Professor, Department of Obstetrics and Gynecology, BRD Medical College, Gorakhpur, Uttar Pradesh, India Professor and Head, Department of Pathology, BRD Medical College, Gorakhpur, Uttar Pradesh, India Assistant Professor, Department of Obstetrics and Gynecology, BRD Medical College, Gorakhpur, Uttar Pradesh, India Junior Resident, Department of Obstetrics and Gynecology, BRD Medical College, Gorakhpur, Uttar Pradesh, India Associate Professor, Department of Community Medicine, BRD Medical College, Gorakhpur, Uttar Pradesh, India Background: The umbilical cord has pivotal role in the development, well-being, and survival of fetus and is vulnerable to kinking, torsion, and compression affecting perinatal outcome adversely. Aims and Objectives: This study was aimed to correlate the umbilical cord index measured antenatally using ultrasonography with that of the umbilical cord index measured postnatally and the association of this index with adverse fetal outcomes. Materials and Methods: This prospective cohort study was conducted on 124 antenatal cases of age group 18–35 years with term gestation with singleton pregnancy that attendant the outpatients department and indoor of Department of Obstetrics and Gynecology, Nehru Hospital B.R.D. Medical College, Gorakhpur over a period of 1 year (2019–2020). After detailed history, examination, and required antenatal care investigations, Ultrasonographic examination was done and antenatal umbilical coiling index (UCI) was calculated. The cases were followed up till delivery and postnatal UCI was also calculated and fetomaternal outcome was noted. Statistical analysis: Appropriate tests were applied where ever necessary. Results: The mean age was 25.71±4.30 years. The risk of preeclampsia, fetal growth restriction, oligohydramnios was significantly high with antenatal and postnatal hypocoiling (P<0.001) whereas the risk of gestational diabetes mellitus was significantly associated with antenatal and postnatal hypercoiling. The risk of low birth weight, preterm, low APGAR, neonatal intensive care unit admission and perinatal mortality were significantly high with postnatal hypocoiling (P<0.0001). Conclusion: The present study concludes that abnormal UCI was associated with adverse perinatal outcomes. Quantification of degree of abnormal coiling in antepartum period is important.https://ajmsjournal.info/index.php/AJMS/article/view/4283umbilical coiling index; perinatal outcome; hypocoiling; hypercoiling |
| spellingShingle | Ankita Kumari Vani Aditya Shaila Mitra Garima Maurya Pratima Sharma Harish Chandra Tiwari Correlation between antenatal and postnatal coiling index and its role in prediction of perinatal outcome: A prospective cohort study Asian Journal of Medical Sciences umbilical coiling index; perinatal outcome; hypocoiling; hypercoiling |
| title | Correlation between antenatal and postnatal coiling index and its role in prediction of perinatal outcome: A prospective cohort study |
| title_full | Correlation between antenatal and postnatal coiling index and its role in prediction of perinatal outcome: A prospective cohort study |
| title_fullStr | Correlation between antenatal and postnatal coiling index and its role in prediction of perinatal outcome: A prospective cohort study |
| title_full_unstemmed | Correlation between antenatal and postnatal coiling index and its role in prediction of perinatal outcome: A prospective cohort study |
| title_short | Correlation between antenatal and postnatal coiling index and its role in prediction of perinatal outcome: A prospective cohort study |
| title_sort | correlation between antenatal and postnatal coiling index and its role in prediction of perinatal outcome a prospective cohort study |
| topic | umbilical coiling index; perinatal outcome; hypocoiling; hypercoiling |
| url | https://ajmsjournal.info/index.php/AJMS/article/view/4283 |
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