To study the effect of nuchal cord on perinatal outcome and mode of delivery in uncomplicated pregnancies

Abstract

The nuchal cord is blamed as a major cause of fetal distress and perinatal mortality. A prospective & cross-sectional study was conducted in Department of Obstetrics and Gyaenecology in G S Medical college & Hospital, Pilkhuwa, Hapur, U. P. from January 2018 to June 2019 on women attending antenatal clinic. These cases were followed till one week after delivary. Women with Multiple pregnancies, Obstetric complication indicative of elective LSCS, with chronic medical illness, Previous LSCS, chromosomal/structural anomalies of fetuses, with suspected brim cephalopelvic disproportion, were excluded from study. Fetuses were examined for nuchal cord by 2-D ultrasonography and color Doppler at 36 weeks till term. Cases and controls were compared with respect to maternal and fetal outcome, various variables were compared by applying chi-square test as a test of significance. My study suggests that nuchal cord is not associated with adverse perinatal outcome except for variable fetal heart pattern.