The Effect of Nuchal Cord on Umbilical Cord Blood Gases and Neonatal Outcomes | [Pakistan Journal of Medical and Health Sciences • 2020]

Author(s):

1. SODABEH KAZEMI: Reproductive Health Research Center, Department of Obstetrics & Gynecology, Al-zahra Hospital, School of Medicine, Guilan University of Medical Sciences,Rasht,Iran

2. SEYEDEHHAJARSHARAMI: Reproductive Health Research Center, Department of Obstetrics & Gynecology, Al-zahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran

3. FATEMEH HOSSEINZADEH: Reproductive Health Research Center, Department of Obstetrics & Gynecology, Alzahra Hospital, School of Medicine, Guilan University of Medical Sciences,Rasht,Iran

4. ROYA KABODMEHRI: Reproductive Health Research Center , Department of Gynecology, School of Medicine, Alzahra Hospital, Guilan University of Medical Sciences,Rasht,Iran

5. FARZIN FOROUZAN: School of Medicine , ShahidBeheshti University of Medical Sciences,Tehran,

6. ALIREZAFOROUZAN: Tehran University of Medical Science,Tehran,Iran

7. SEYEDEH MARYAM ATTARI: Reproductive Health Research Center, Department of Obstetrics & Gynecology, Al-zahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran;

8. ELAHEH RAFIEE: Guilan University of Medical Science,Rasht,Iran

9. FATEMEH VALI FARD: Reproductive Health Research Center, Department of Obstetrics & Gynecology, Al-Zahra Hospital, School of Medicine, Guilan University of Medical Sciences,Rasht,Iran

Abstract:

Aim: To investigate the perinatal outcome and umbilical cord blood gases in two groups of neonates with and without nuchal cord in Rasht. Methods: This cohort study was performed on 168 pregnant women with term pregnancy referred to Azzahra hospital in Rasht in 2018. Two groups) with and without nuchal cord( , were compared in maternal demographic characteristics, PH, and cord blood gases and perinatal variables .SPSS-20 was used. Chi-square and Fisherexact test were used to compare the qualitative and quantitative data. Mann-Whitney test was used for non-normal distribution. p<0.05 was taken as the significant level. Results: The mean of cord blood pH in the nuchal cord group was lower than in the group without nuchal cord, which was statistically significant difference (p=0.005). There were no statistically significant differences in the other parameters related to umbilical cord blood gases and perinatal outcomes in the two groups. There was no statistically significant in PH and other umbilical cord blood gases in neonates with single and multiple nuchal cord (p=0.06) Conclusion: The findings of this study showed that although the nuchal cord leads to a decrease in the PH of the arterial blood of the umbilical cord, however, this decrease is clinically insignificant. In other arterial blood gas parameters, there was no significant difference between two groups with and without nuchal cord. There may be different results in studies with larger sample sizes and simultaneous test of arterial and venous blood gases.

Page(s): 829-835

DOI: DOI not available

Published: Journal: Pakistan Journal of Medical and Health Sciences, Volume: 14, Issue: 2, Year: 2020

Keywords:

Nuchal cord , Perinatal outcomes , umbilical cord blood gases

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