Umbilical Cord Length Index as a New Ultrasonographic Method for Prediction of Cord Abnormalities before Delivery

Shindeen, Asmaa Khalaf; Mouawad, Mahmoud Soliman; AlRashidy, Mahmoud Ibrahim

doi:10.21608/svuijm.2023.170575.1615

Umbilical Cord Length Index as a New Ultrasonographic Method for Prediction of Cord Abnormalities before Delivery

Document Type : Original research articles

Authors

¹ Obstetrics and Gynecology Department, Faculty of Medicine, South Valley University, Qena, Egypt .

² Obstetrics and Gynecology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

10.21608/svuijm.2023.170575.1615

Abstract

Background: The umbilical cord (UC) provides life support to the fetus.The length of UC is of great clinical relevance and is associated with a wide range of unfavorable obstetric outcomes.
Objectives: Evaluating the feasibility of sonographic measurement of the UC length index in predicting any adverse feto-maternal outcomes of an uncomplicated full-term pregnancy
Patients and Methods: This prospective cohort study was done on 369 pregnant women with a singleton pregnancy and ≥ 37 weeks of gestation. The UC length index was calculated by ultrasonography by counting UC rings in each amniotic fluid quadrant.
Results: Both groups of women, based on the occurrence of UC problems, had insignificant differences as regards the different characteristics of the studied women, UC length, and UC index. Meanwhile, the frequency of neck loops was significantly higher among women with UC problems (44.2% vs. 25.5%; p = 0.01). There were insignificant differences between different umbilical cord problems regarding UC length (p = 0.42) and UC index (p = 0.28).
Conclusion: The UC length index was not a statistically significant predictor of umbilical cord abnormalities.

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