PREVALENCE OF NUCHAL CORD IN CEPHALIC VERSUS BREECH PRESENTATION

: Objective: To determine the prevalence of Nuchal cord in Cephalic Versus Breech presentation in Pakistani women. Study design: Cross sectional validation study. Place of Department of Diagnostic Radiology, Fauji Foundation Hospital, Bedian Road, Lahore cantt from1 st April 2018 to 31 Aug 2018. Material and Methods: The study was conducted on Color Doppler assessment of 100 x second/ third trimester obstetric ultrasound examinations with fetuses in Cephalic presentation and 100 cases in Breech presentation, who reported for routine obstetric examinations irrespective of ethnicity. Results: The prevalence rate of Nuchal cord in Cephalic presentation in Pakistani population was 56 % as compared to low prevalence rate of 33 % in Breech presentation. Conclusion: Our study found high prevalence rate of 56% of Nuchal cord in Cephalic presentation in Pakistani population as compared to low prevalence rate of 33 % of Nuchal cord in Breech presentation.

[1]  R. Vasa,et al.  Nuchal cord at delivery and perinatal outcomes: Single-center retrospective study, with emphasis on fetal acid-base balance. , 2018, Pediatrics and neonatology.

[2]  M. Peesay Nuchal cord and its implications , 2017, Maternal Health, Neonatology and Perinatology.

[3]  M. Rothschild,et al.  Umbilical cord entanglement’s frequency and its impact on the newborn , 2017, International Journal of Legal Medicine.

[4]  Chandrashekhar T Tharihalli,et al.  Study of length of umbilical cord and fetal outcome: a study of 1000 deliveries , 2017 .

[5]  Aisha Sheikh,et al.  FETAL OUTCOME; EFFECTS OF NUCHAL CORD VS WITHOUT CORD AROUND THE NECK ON MODE OF DELIVERY , 2017 .

[6]  G. Mielke,et al.  Sonographic Assessment of the Umbilical Cord , 2015, Geburtshilfe und Frauenheilkunde.

[7]  L. Chan,et al.  Neonatal outcome and mode of delivery in the presence of nuchal cord loops: implications on patient counselling and the mode of delivery , 2015, Archives of Gynecology and Obstetrics.

[8]  Sandhya Jain,et al.  Is nuchal cord justified as a cause of obstetrician anxiety? , 2014, Archives of Gynecology and Obstetrics.

[9]  N. Balkawade,et al.  Study of Length of Umbilical Cord and Fetal Outcome: A Study of 1,000 Deliveries , 2012, The Journal of Obstetrics and Gynecology of India.

[10]  M. Peesay Cord around the neck syndrome , 2012, BMC Pregnancy and Childbirth.

[11]  G. Singh,et al.  Nuchal Cord : A Retrospective Analysis. , 2008, Medical journal, Armed Forces India.

[12]  Adel K. Afifi,et al.  Atlas of Microscopic Anatomy: A Functional Approach : Companion to Histology and Neuroanatomy , 1989 .

[13]  Shazia Taizon PERINATAL OUTCOME IN CASES WITH OR WITHOUT NUCHAL CORD , 2014 .

[14]  J. Cohain Nuchal cords are necklaces, not nooses. , 2010, Midwifery today with international midwife.

[15]  HAMER-HODGES OBSTETRICS ILLUSTRATED , 1975, The Ulster Medical Journal.