Adverse perinatal outcome in patients with an abnormal umbilical coiling index
To evaluate perinatal outcome in neonates with hypocoiled and hypercoiled cords. From February 18 through June 13, 1994, 635 placentas from deliveries of at least 24 weeks' gestation were examined for umbilical coiling. The umbilical coiling index was calculated by dividing the total number of...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1995-04, Vol.85 (4), p.573-577 |
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| creator | Rana, Jagpal Ebert, Gary A. Kappy, Kenneth A. |
| description | To evaluate perinatal outcome in neonates with hypocoiled and hypercoiled cords.
From February 18 through June 13, 1994, 635 placentas from deliveries of at least 24 weeks' gestation were examined for umbilical coiling. The umbilical coiling index was calculated by dividing the total number of coils by the length of the cord. Subjects with umbilical coiling indices below the tenth percentile, above the 90th percentile, and between the tenth and 90th percentiles were defined as hypocoiled, hypercoiled, and normocoiled, respectively. Subjects with hypocoiled and hypercoiled cords were compared with those found to have normocoiled cords. Twelve different characteristics were used to measure perinatal outcome.
The subjects with hypocoiled cords differed from those with normocoiled cords in two significant ways: rate of fetal heart rate (FHR) disturbances and interventional delivery were higher in the hypocoiled group (28.6 versus 15.9% [
P =.01] and 19 versus 7.1% [
P =.002], respectively). The subjects with hypercoiled cords compared with those found to have normocoiled cords had a higher rate of premature delivery (33.3 versus 12.0% [
P |
| doi_str_mv | 10.1016/0029-7844(94)00435-G |
| format | Article |
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From February 18 through June 13, 1994, 635 placentas from deliveries of at least 24 weeks' gestation were examined for umbilical coiling. The umbilical coiling index was calculated by dividing the total number of coils by the length of the cord. Subjects with umbilical coiling indices below the tenth percentile, above the 90th percentile, and between the tenth and 90th percentiles were defined as hypocoiled, hypercoiled, and normocoiled, respectively. Subjects with hypocoiled and hypercoiled cords were compared with those found to have normocoiled cords. Twelve different characteristics were used to measure perinatal outcome.
The subjects with hypocoiled cords differed from those with normocoiled cords in two significant ways: rate of fetal heart rate (FHR) disturbances and interventional delivery were higher in the hypocoiled group (28.6 versus 15.9% [
P =.01] and 19 versus 7.1% [
P =.002], respectively). The subjects with hypercoiled cords compared with those found to have normocoiled cords had a higher rate of premature delivery (33.3 versus 12.0% [
P <.0001] and a higher incidence of cocaine use (12.7 versus 3.3% [
P =.0006]).
Hypocoiled cords can be predictors of potential interventional delivery and intrapartum FHR disturbances. Hypercoiled cords are associated with an increased incidence of premature delivery and maternal cocaine use.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>DOI: 10.1016/0029-7844(94)00435-G</identifier><identifier>PMID: 7898836</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Analysis of Variance ; Biological and medical sciences ; Birth Weight ; Delivery, Obstetric ; Female ; Fetal Diseases - diagnosis ; Fetal Diseases - epidemiology ; Fetal Diseases - physiopathology ; Gynecology. Andrology. Obstetrics ; Heart Rate, Fetal - physiology ; Humans ; Incidence ; Infant, Newborn ; Management. Prenatal diagnosis ; Maternal Age ; Medical sciences ; Obstetric Labor, Premature - epidemiology ; Obstetric Labor, Premature - etiology ; Parity ; Pregnancy ; Pregnancy Outcome - epidemiology ; Pregnancy, High-Risk ; Pregnancy. Fetus. Placenta ; Prenatal Diagnosis ; Prenatal Exposure Delayed Effects ; Prospective Studies ; Umbilical Cord - abnormalities ; Umbilical Cord - blood supply</subject><ispartof>Obstetrics and gynecology (New York. 1953), 1995-04, Vol.85 (4), p.573-577</ispartof><rights>1995 The American College of Obstetricians and Gynecologists</rights><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4317-4b28c5aae4c3d1de06cac84b30ac7a7c25eeb565072dbacd1c5787a6d63d9b913</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3481143$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7898836$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rana, Jagpal</creatorcontrib><creatorcontrib>Ebert, Gary A.</creatorcontrib><creatorcontrib>Kappy, Kenneth A.</creatorcontrib><title>Adverse perinatal outcome in patients with an abnormal umbilical coiling index</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>To evaluate perinatal outcome in neonates with hypocoiled and hypercoiled cords.
From February 18 through June 13, 1994, 635 placentas from deliveries of at least 24 weeks' gestation were examined for umbilical coiling. The umbilical coiling index was calculated by dividing the total number of coils by the length of the cord. Subjects with umbilical coiling indices below the tenth percentile, above the 90th percentile, and between the tenth and 90th percentiles were defined as hypocoiled, hypercoiled, and normocoiled, respectively. Subjects with hypocoiled and hypercoiled cords were compared with those found to have normocoiled cords. Twelve different characteristics were used to measure perinatal outcome.
The subjects with hypocoiled cords differed from those with normocoiled cords in two significant ways: rate of fetal heart rate (FHR) disturbances and interventional delivery were higher in the hypocoiled group (28.6 versus 15.9% [
P =.01] and 19 versus 7.1% [
P =.002], respectively). The subjects with hypercoiled cords compared with those found to have normocoiled cords had a higher rate of premature delivery (33.3 versus 12.0% [
P <.0001] and a higher incidence of cocaine use (12.7 versus 3.3% [
P =.0006]).
Hypocoiled cords can be predictors of potential interventional delivery and intrapartum FHR disturbances. Hypercoiled cords are associated with an increased incidence of premature delivery and maternal cocaine use.</description><subject>Adult</subject><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Birth Weight</subject><subject>Delivery, Obstetric</subject><subject>Female</subject><subject>Fetal Diseases - diagnosis</subject><subject>Fetal Diseases - epidemiology</subject><subject>Fetal Diseases - physiopathology</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Heart Rate, Fetal - physiology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant, Newborn</subject><subject>Management. Prenatal diagnosis</subject><subject>Maternal Age</subject><subject>Medical sciences</subject><subject>Obstetric Labor, Premature - epidemiology</subject><subject>Obstetric Labor, Premature - etiology</subject><subject>Parity</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome - epidemiology</subject><subject>Pregnancy, High-Risk</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Prenatal Diagnosis</subject><subject>Prenatal Exposure Delayed Effects</subject><subject>Prospective Studies</subject><subject>Umbilical Cord - abnormalities</subject><subject>Umbilical Cord - blood supply</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFu1DAQhi1EVZbCG4CUA0JwCNixHTuXSlUFC1JVLiBxsyb2LGtI4sV2uuXtcdjVcutpZjT_PzP6hpAXjL5jlLXvKW26Wmkh3nTiLaWCy3r9iKyYVrxuOP_-mKxOkifkaUo_KS2-jp-Tc6U7rXm7IrdX7g5jwmqH0U-QYajCnG0YsfJTtYPsccqp2vu8rWCqoJ9CHItoHns_eFsyG0oy_Shyh_fPyNkGhoTPj_GCfPv44ev1p_rmy_rz9dVNbQVnqhZ9o60EQGG5Yw5pa8Fq0XMKVoGyjUTsZSupalwP1jErlVbQupa7ru8YvyCvD3N3MfyeMWUz-mRxGGDCMCejFNMtl6oIxUFoY0gp4sbsoh8h_jGMmgWjWRiZhZHphPmH0ayL7eVx_tyP6E6mI7fSf3XsQyoQNhEm69NJxoVmTPD_2_dhyAXzr2HeYzRbhCFvyzJK20bSmnWdpKJU9fKh5ejLgw0LwjtfHMmWP1h0PqLNxgX_8Pl_AQYnnwE</recordid><startdate>199504</startdate><enddate>199504</enddate><creator>Rana, Jagpal</creator><creator>Ebert, Gary A.</creator><creator>Kappy, Kenneth A.</creator><general>Elsevier Inc</general><general>The American College of Obstetricians and Gynecologists</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199504</creationdate><title>Adverse perinatal outcome in patients with an abnormal umbilical coiling index</title><author>Rana, Jagpal ; Ebert, Gary A. ; Kappy, Kenneth A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4317-4b28c5aae4c3d1de06cac84b30ac7a7c25eeb565072dbacd1c5787a6d63d9b913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adult</topic><topic>Analysis of Variance</topic><topic>Biological and medical sciences</topic><topic>Birth Weight</topic><topic>Delivery, Obstetric</topic><topic>Female</topic><topic>Fetal Diseases - diagnosis</topic><topic>Fetal Diseases - epidemiology</topic><topic>Fetal Diseases - physiopathology</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Heart Rate, Fetal - physiology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant, Newborn</topic><topic>Management. Prenatal diagnosis</topic><topic>Maternal Age</topic><topic>Medical sciences</topic><topic>Obstetric Labor, Premature - epidemiology</topic><topic>Obstetric Labor, Premature - etiology</topic><topic>Parity</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome - epidemiology</topic><topic>Pregnancy, High-Risk</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Prenatal Diagnosis</topic><topic>Prenatal Exposure Delayed Effects</topic><topic>Prospective Studies</topic><topic>Umbilical Cord - abnormalities</topic><topic>Umbilical Cord - blood supply</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rana, Jagpal</creatorcontrib><creatorcontrib>Ebert, Gary A.</creatorcontrib><creatorcontrib>Kappy, Kenneth A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rana, Jagpal</au><au>Ebert, Gary A.</au><au>Kappy, Kenneth A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adverse perinatal outcome in patients with an abnormal umbilical coiling index</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1995-04</date><risdate>1995</risdate><volume>85</volume><issue>4</issue><spage>573</spage><epage>577</epage><pages>573-577</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>To evaluate perinatal outcome in neonates with hypocoiled and hypercoiled cords.
From February 18 through June 13, 1994, 635 placentas from deliveries of at least 24 weeks' gestation were examined for umbilical coiling. The umbilical coiling index was calculated by dividing the total number of coils by the length of the cord. Subjects with umbilical coiling indices below the tenth percentile, above the 90th percentile, and between the tenth and 90th percentiles were defined as hypocoiled, hypercoiled, and normocoiled, respectively. Subjects with hypocoiled and hypercoiled cords were compared with those found to have normocoiled cords. Twelve different characteristics were used to measure perinatal outcome.
The subjects with hypocoiled cords differed from those with normocoiled cords in two significant ways: rate of fetal heart rate (FHR) disturbances and interventional delivery were higher in the hypocoiled group (28.6 versus 15.9% [
P =.01] and 19 versus 7.1% [
P =.002], respectively). The subjects with hypercoiled cords compared with those found to have normocoiled cords had a higher rate of premature delivery (33.3 versus 12.0% [
P <.0001] and a higher incidence of cocaine use (12.7 versus 3.3% [
P =.0006]).
Hypocoiled cords can be predictors of potential interventional delivery and intrapartum FHR disturbances. Hypercoiled cords are associated with an increased incidence of premature delivery and maternal cocaine use.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>7898836</pmid><doi>10.1016/0029-7844(94)00435-G</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Analysis of Variance Biological and medical sciences Birth Weight Delivery, Obstetric Female Fetal Diseases - diagnosis Fetal Diseases - epidemiology Fetal Diseases - physiopathology Gynecology. Andrology. Obstetrics Heart Rate, Fetal - physiology Humans Incidence Infant, Newborn Management. Prenatal diagnosis Maternal Age Medical sciences Obstetric Labor, Premature - epidemiology Obstetric Labor, Premature - etiology Parity Pregnancy Pregnancy Outcome - epidemiology Pregnancy, High-Risk Pregnancy. Fetus. Placenta Prenatal Diagnosis Prenatal Exposure Delayed Effects Prospective Studies Umbilical Cord - abnormalities Umbilical Cord - blood supply |
| title | Adverse perinatal outcome in patients with an abnormal umbilical coiling index |
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