Umbilical cord parameters in Ilorin: correlates and foetal outcome
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Date
2014
Journal Title
Journal ISSN
Volume Title
Publisher
Kenyan Medical Association
Abstract
Background: The anthropometric parameters of the umbilical cord have clinical significance. Current parameters of the cord, its correlates and related foetal outcome are lacking in our parturients.
Objective: To describe the anthropometric parameters and abnormalities of the umbilical cord; and determine their maternal correlates and foetal outcome.
Design: A cross sectional analytical study
Setting: The Obstetric and Gynaecology Department of the University of Ilorin Teaching Hospital, between September 2012 and June 2013.
Subjects: Healthy pregnant women with singleton pregnancies.
Results: Four hundred and twenty- eight (428) singleton deliveries were studied. The respective mean values of the cord length and width were526.87±115.5mm and 19.56±11.12mm.Short cord (< 40cm) occurred in 7.2% while long cord (> 69cm) was found in9.3% of the parturient. The incidences of single umbilical artery, cord round the body and knots were 7%, 8.4% and 14.5% respectively. Nuchal cord was the commonest (91.4%). Only gestational age had significant statistical relationship with cord length abnormalities (P = 0.0093). The cord length was an important correlate of cord helices, knots and vessels (P< 0.05).Parity had correlations with the number of vessels(R= 0.099, P=0.042). The cord coiling index was statistically related to the presence of congenital abnormalities (P=0.011). Other perinatal events were not related to umbilical cord
parameters. Perinatal asphyxia was the commonest indication for NICU admission (3.5%) but there was no significant statistical difference between NICU admission and cord parameters.
Conclusion: The umbilical cord parameters in apparently healthy parturients in Ilorin were comparable with others elsewhere. The cord length and helix are important correlates of gestational age and congenital abnormalities. Parity may be related to abnormal umbilical vessels. Cord length,coils, coil index and umbilical vessels should be examined postnatally.
Description
Keywords
Umbilical cord, Foetal outcome
Citation
Adesina, K.T., OO Ogunlaja, AP Aboyeji, Akande, H.J, Olarinoye, A.O., AS Adeniran, A.S &FawoleA.A. (2014):Umbilical cord parameters in Ilorin: correlates and foetal outcome. East African Medical Journal.91(8); 278-280,