Relationship of umbilical coiling index and perinatal outcome

Authors

  • Shayesta Rahi Department of Obstetrics and Gynecology, Government Medical College Srinagar, Jammu and Kashmir, India
  • Gulshan Akther Department of Obstetrics and Gynecology, Government Medical College Srinagar, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20174419

Keywords:

Apgar score, Perinatal outcome, Umbilical coiling index

Abstract

Background: In placental mammals, the umbilical cord is a conduit between the developing embryo or foetus and the placenta. Present work was done to study the association of umbilical coiling index and perinatal outcome.

Methods: One hundred umbilical cords were examined. The umbilical coiling index was calculated, by dividing the total number of coils by the total length of the cord in centimetres. The umbilical coiling index <10th percentile and >90th percentile was considered as hypocoiled and hypercoiled, respectively. The outcomes measured in terms of birth weight, Apgar score, meconium staining, Intrauterine growth restriction, gestational age at birth and Neonatal intensive care unit admission.

Results: The mean umbilical cord length was 51.2 cms, mean number of coils 10.8 and mean umbilical coiling index 0.2. 80 umbilical cords showed normocoiling, 10 hypercoiling and 10 had hypocoiling. Meconium stained liquor was present in 80%, 37.5% and 20% in hypocoiling, normocoiling and hypercoiling group, respectively, with p valve of <0.05. 40% of babies with hypocoiling cords had Apgar at 1 minute <4 and apgar score at 5 minutes <7. Intrauterine growth restriction and low birth weight babies were significantly higher in hypercoiling group. Neonatal intensive care unit admission was higher (40%) in both hypocoiling and hypercoiling group as compared to normocoiling group (10%).

Conclusions: Present study thus shows abnormal coiling index is associated with adverse perinatal outcome.

Author Biography

Shayesta Rahi, Department of Obstetrics and Gynecology, Government Medical College Srinagar, Jammu and Kashmir, India

Senior resident, Deptt. of Obstetrics and gynaecology

References

Feyi Waboso PA, Omo-Aghoja LO. Umbilical coiling index in women of South-eastern Nigeria. J Women’s health, issues and care. 2014;3:4.

Edmonds HW. The spiral twist of the normal umbilical cord in twins and in singletons. Am J Obstet Gynecol. 1954;67:102-120.

Strong TH Jr, Jarles DL, Vega Js, Feldman DB. The umblical coiling index. Am J Obstet Gynecol. 1994;170:29-32.

Ezimokhai M, Rizk DE, Thomas L. Abnormal vascular coiling of th eumblical cord in gestational diabetes mellitus. Arch Physiol Biochem. 2001;109:209-214.

ERcal T, Lacin S, Altunyurt S, Saygili U, Cinal O, Mumcu A. Umblical coiling index: is it a marker for the foetus at risk? Br J Clin Pract. 1996;50:254-6.

Rana J, Ebert GA, Kappy KA. Adverse perinatal outcome in patients with an abnormal umblical coiling index. Obset Gynecol. 1995;85:573-7.

Gupta S, Faridi MMa, Krishnan J. Umbilical coiling index. J Obstet Gynecol India. 2006;56:315-9.

Padmanabhan LD, Mhaskar R, Mhaskar A. Umbilical vascular coiling and the perinatal outcome. J Obstet Gynecol India. 2001;51:43.

Tripathy S. Umbilical Coiling Index and its Relationship with perinatal outcomes. Indian journal of neonatal Medicine and Research. 2014;2(2):1-4.

Devaru D, Thusoo M. Umbilical coiling index and perinatal outcome. J Obstet Gynecol India. 2012;62(1):43-46.

Chholak D, Gupta P, Khajotia S. Study to evaluate association of umbilical coiling index and perinatal outcome. Int J reprod Contracept Obstet Gynecol. 2017;6(2):408-412.

Raio L, Ghezzi F, Cromi A, Cereda E, Passi A. Sonographic morphology and hyaluronan content of umbilical cords of healthy and down syndrome foetuses in early gestation. Early Hum Dev. 2004;77:1-12.

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Published

2017-09-23

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Original Research Articles