Evaluation of Umbilical Cord Abnormalities and Its Association with Perinatal Outcome

Dr. Shriya Taneja, Dr Usha Rani

Abstract: Background: Umbilical cord abnormalities (UCA) can compromise fetal blood flow and are associated with adverse maternal and perinatal outcomes. Early antenatal detection may help reduce perinatal morbidity and mortality. Methods: This prospective observational study was conducted in the Department of Obstetrics and Gynecology, Saraswathi Institute of Medical Sciences, Hapur, from April 2024 to October 2024. A total of 30 antenatal women between 20?28 weeks of gestation meeting inclusion criteria were enrolled. Umbilical cord abnormalities were assessed sonographically using the umbilical coiling index and confirmed postnatally. Maternal complications, fetal outcomes, mode of delivery, Apgar score, and NICU admissions were recorded. Results: Umbilical cord abnormalities were detected in 32% of cases. These abnormalities were associated with an increased incidence of lower segment caesarean section, low Apgar scores at 1 minute, and higher NICU admissions. Conclusion: Umbilical cord abnormalities are significantly associated with adverse perinatal outcomes. Antenatal detection and vigilant intrapartum monitoring can help improve maternal and neonatal outcomes.

Keywords: Umbilical cord abnormalities; Umbilical coiling index; Perinatal outcome; Low Apgar score; NICU admission; Lower segment caesarean section

How to Cite?: Dr. Shriya Taneja, Dr Usha Rani, "Evaluation of Umbilical Cord Abnormalities and Its Association with Perinatal Outcome", Volume 14 Issue 12, December 2025, International Journal of Science and Research (IJSR), Pages: 1745-1746, https://www.ijsr.net/getabstract.php?paperid=MR251217095144, DOI: https://dx.doi.org/10.21275/MR251217095144