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Nuchal cord in post-term pregnancy - relationship to suspected intrapartum fetal distress indicating operative intervention.

Ghosh, Gisela LU and Gudmundsson, Saemundur LU (2008) In Journal of Perinatal Medicine 36(2). p.142-144
Abstract
Abstract Color Doppler Ultrasound was performed on 202 post-term pregnancies to detect the presence of a nuchal cord. A nuchal cord was diagnosed if the umbilical cord could be followed 360 degrees around the fetal neck. The results were not disclosed to the managing obstetrician, midwife, and patient. The perinatal outcome was analyzed according to Apgar score, umbilical cord artery and vein pH and base excess (BE), perinatal death, cesarean section, operative delivery for fetal distress (ODFD) and admission to neonatal intensive care unit (NICU). A nuchal cord was detected in 69 patients (34.2%). The incidence was not affected by parity or reduced amniotic fluid volume. There was no statistically significant increased risk for 1- and... (More)
Abstract Color Doppler Ultrasound was performed on 202 post-term pregnancies to detect the presence of a nuchal cord. A nuchal cord was diagnosed if the umbilical cord could be followed 360 degrees around the fetal neck. The results were not disclosed to the managing obstetrician, midwife, and patient. The perinatal outcome was analyzed according to Apgar score, umbilical cord artery and vein pH and base excess (BE), perinatal death, cesarean section, operative delivery for fetal distress (ODFD) and admission to neonatal intensive care unit (NICU). A nuchal cord was detected in 69 patients (34.2%). The incidence was not affected by parity or reduced amniotic fluid volume. There was no statistically significant increased risk for 1- and 5-min Apgar scores <7, umbilical artery pH <7.1, umbilical vein pH <7.20, umbilical artery base excess <-11, umbilical vein base excess <-11, perinatal death, cesarean section, ODFD or admission to NICU. Nuchal cord in post-term pregnancies is not associated with an increased risk for signs of fetal distress and operative intervention during labor and delivery. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
post-term pregnancy, operative intervention, nuchal cord, fetal distress, Color Doppler
in
Journal of Perinatal Medicine
volume
36
issue
2
pages
142 - 144
publisher
De Gruyter
external identifiers
  • pmid:18211253
  • wos:000254578700008
  • scopus:40549103127
ISSN
1619-3997
DOI
10.1515/JPM.2008.012
language
English
LU publication?
yes
id
ca8ff451-5fa9-422c-80a0-e961907476d8 (old id 1021201)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18211253?dopt=Abstract
date added to LUP
2008-02-13 14:07:13
date last changed
2017-04-30 09:29:24
@article{ca8ff451-5fa9-422c-80a0-e961907476d8,
  abstract     = {Abstract Color Doppler Ultrasound was performed on 202 post-term pregnancies to detect the presence of a nuchal cord. A nuchal cord was diagnosed if the umbilical cord could be followed 360 degrees around the fetal neck. The results were not disclosed to the managing obstetrician, midwife, and patient. The perinatal outcome was analyzed according to Apgar score, umbilical cord artery and vein pH and base excess (BE), perinatal death, cesarean section, operative delivery for fetal distress (ODFD) and admission to neonatal intensive care unit (NICU). A nuchal cord was detected in 69 patients (34.2%). The incidence was not affected by parity or reduced amniotic fluid volume. There was no statistically significant increased risk for 1- and 5-min Apgar scores &lt;7, umbilical artery pH &lt;7.1, umbilical vein pH &lt;7.20, umbilical artery base excess &lt;-11, umbilical vein base excess &lt;-11, perinatal death, cesarean section, ODFD or admission to NICU. Nuchal cord in post-term pregnancies is not associated with an increased risk for signs of fetal distress and operative intervention during labor and delivery.},
  author       = {Ghosh, Gisela and Gudmundsson, Saemundur},
  issn         = {1619-3997},
  keyword      = {post-term pregnancy,operative intervention,nuchal cord,fetal distress,Color Doppler},
  language     = {eng},
  number       = {2},
  pages        = {142--144},
  publisher    = {De Gruyter},
  series       = {Journal of Perinatal Medicine},
  title        = {Nuchal cord in post-term pregnancy - relationship to suspected intrapartum fetal distress indicating operative intervention.},
  url          = {http://dx.doi.org/10.1515/JPM.2008.012},
  volume       = {36},
  year         = {2008},
}