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Research Paper | Gynaecology | India | Volume 6 Issue 5, May 2017

Abnormal Umbilical Cord Coiling Index and Its Relation to Adverse Perinatal Outcome

Dr. Richa Jha ^[5] | Dr. Renu Rohatgi ^[7]

Abstract: BACKGROUND The umbilical cord is vital to the development, well being and survival of the fetus. A coil of the cord is defined as a complete 360 degree spiral course of umbilical vessels around Whartons jelly. Sonographically, the Umbilical Coiling Index (UCI) is defined as the reciprocal of the average distance between a pair of coils. Hypocoiled cords are those with UCI < 10th centile while hypercoiled cords are those with UCI >90th centile. METHODS The study was conducted in the Department of Obstetrics and Gynaecology, Nalanda Medical College, Patna, Bihar. Hundred patients attending GOPD were selected for the study over a period of one year ( October 2015 October 2016). The effect of Umbilical cord coiling index on the antenatal outcome. (Presence of gestational hypertension & IUGR) and fetal outcome ( Presence of meconium stained liquor, APGAR Score at birth and requirement of NICU admission) was studied. RESULTS Hypocoiled cords (UCI < 10th centile) were found to be associated with adverse fetal outcomes like presence of MSL and low APGAR score at 1 & 5 min. Hypercoiled cords ( UCI > 90th centile) were found to be associated with a higher incidence of gestational hypertension in mother and IUGR in fetus. Umbilical artery Coiling Index, Gestational Hypertension, Meconium Stained Liquor, IUGR, APGAR Score

Keywords: Umbilical artery Coiling Index, Gestational Hypertension, Meconium Stained Liquor, IUGR, APGAR Score

Edition: Volume 6 Issue 5, May 2017,

Pages: 1581 - 1584

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