The Length of Umbilical cord and Perinatal Outcome Kadhim Ekhlas Jabbar1, Ali Yusra Noaman Mohammed1, Saeed Sonia Saher1, Fawzi Hayder Adnan2,* 1College of Medicine, Department of Gynecology and Obstetrics, University of Baghdad, Baghdad, Iraq 2Baghdad Medical City, Baghdad Teaching Hospital, Clinical Pharmacy Department, Baghdad, Iraq *Corresponding Author: Hayder Adnan Fawzi Baghdad Medical City, Baghdad Teaching Hospital, Clinical Pharmacy Department, Baghdad, Iraq, Phone: 009647722627943, Email: hayder.adnan2010@ierit.nahrainuniv.edu.iq
Online published on 4 June, 2019. Abstract Objective Study the correlation of umbilical cord length with maternal and fetal parameters. Materials and Method A prospective observational study carried out on 100 pregnant women, with singleton pregnancy with gestational age between 37 completed weeks to 41 completed weeks. The umbilical cords and placentae had been examined after delivery for any abnormalities in shape of placenta, the site of umbilical cord insertion in it, abnormalities and the relation of these parameters to perinatal outcome. The study was carried out in department of Gynecology and Obstetrics at Baghdad Teaching Hospital for the period from 1st of December 2013 to the 1st of June 2014. Results The mean Umbilical cord length was 69.8 ± 22.6 cm. There was a significant correlation between non-reassuring fetal heart and long umbilical cord (P=0.03), other significant correlation was between low APGAR score (at 1st minute and 5th minutes) and long umbilical cord as compared to normal length umbilical cord (P= 0.019 and 0.041). There is a significant association with only low Apgar score at 1st and 5th minute (P=0.027, and 0.015) while other clinical and perinatal outcome parameters showed no significant correlation with umbilical cord length in all comparisons (p>0.05). Conclusion Abnormal cord length either short or long cord associated with low Apgar score at l and 5 minute as compared to the normal length of cord and the long cord associated with no-reassuring fetal heart more than short or normal cord. Top Keywords Umbilical cord, fetal complications, Placental abnormalities, umbilical length, APGAR score. Top |