Nuchal Cord Coiling Effect on Intrapartum Events and Neonatal Outcomes

Ryu, M K; Koh, E M; Baik, S K; Lee, K H; Park, M C; Lee, Y W

Abstract

OBJECTIVE
This thesis is to research the effect in delivery and neonatal outcomes from the existence of nuchal cord coiling and its frequencies. Materials and
METHODS
The research had been made during the period between Jan, 1997 and Jul, 1998 in College of medicine, Hallym University. It examined the process of delivery and 1min/5min apgar score, fetal weight, and gas measurement of umbilical vessel with the objects of 1st group of 100 full-term women without nuchal cord coiling, 2nd group 125 full-term women with only 1 time of nuchal cord coiling, and 3rd group of 25 full-term women with more than 2 times of nuchal cord coiling. Results; Nuchal cord coiling showed the frequencies of 17.81% [14.85% in 2nd group, 2.96% in 3rd group]. There were almost no discrepancies between 1st group and 2nd group in the frequencies of an abnormal fetal heart rate, a meconium staining, and an emergency cesarean section. However, Discrepancies were found between 1st/2nd groups and 2nd/3rd groups. The frequencies of 1min apgar score, macrosomia in neonatal outcome were some discrepancies between 1st/2nd groups and 3rd group. In 5min apgar score, fetal weight, no discrepancies were found. In gas measurement in umbilical vessels, pH showed some discrepancies only between 1st/2nd groups and 3rd group and no discrepancies between groups were found in gas measurement for pO2, pCO2, and HCO3.
CONCLUSION
Because more than 2 times of nuchal cord coiling can affect the delivery and outcome, proper treatment from the prenatal diagnosis can help the being of pregnant women and her fetus.