Gynecology & Obstetrics
Open Access

Abstract

"Coils & Kinks": A Novel Technique to Evaluate the Perinatal Outcome

Khizer Razak, Deepika Meena and Meena GL

Aims & Objectives: 1. To evaluate the relationship of sonographic measurements of umbilical cord thickness, cross sectional area and coiling index in the second trimester (18 to 24 weeks) with perinatal outcome.
2. In future it can be adopted as a predictor for congenital anomalies, preterm labour, low birth weight, Intrauterine growth restriction, small for gestational age and intra uterine death.
Material and methods: This study was conducted on 100 pregnant women visiting the obstetric outpatient department at P.B.M hospital, Bikaner, Rajasthan during the period of November 2016 to November 2017, for antenatal check-up and scheduled to deliver in the same hospital. The umbilical cord thickness, cross sectional area and antenatal coiling index were studied by ultrasonography during 18-24 weeks of gestation at the time of anomaly scan. The study to assess the relationship between these parameters and perinatal outcome in relation to gestational age at the time of delivery, mode of delivery, birth weight of the baby, APGAR score, meconium stained amniotic fluid(MSAF) and NICU admission of the baby was carried out and statistically compared.
Conclusion: Hypocoiled cords are associated with spontaneous preterm labor and low birth weights while hypercoiled cords are associated with MSAF. The umbilical cord thickness and cross sectional area are also associated with preterm labor, low birth weights and NICU admission of the baby.