Document Detail


Outcomes of pregnancies with sonographically detected nuchal cords remote from delivery.
MedLine Citation:
PMID:  14756352     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the outcomes of pregnancies with sonographically detected nuchal cords remote from delivery during the second and third trimesters of gestation. METHODS: A retrospective study of patients with and without nuchal cords detected by sonography during the second and third trimesters of gestation (17-36 weeks) was conducted. Variables included maternal age, parity, gestational age at sonography and at delivery, method of delivery, intrapartum fetal heart abnormalities, meconium-stained amniotic fluid, birth weight, 5-minute Apgar score, and neonatal intensive care unit admissions. RESULTS: A total of 233 patients were included in this study, of which 118 had sonographically detected nuchal cords identified in our department during the study period. There were no statistically significant differences between patients with sonographically detected nuchal cords and control patients with respect to maternal age, estimated gestational age at sonography, method of delivery, meconium-stained fluid, birth weight, intrapartum fetal heart abnormalities, 5-minute Apgar scores of less than 7, and neonatal intensive care unit admissions. Patients with nuchal cords detected by sonography were more likely to give birth before 37 weeks' gestation than control patients (21% versus 11%; P = .040). CONCLUSIONS: A sonographically detected nuchal cord is not associated with important perinatal complications.
Authors:
Victor Hugo González-Quintero; Lama Tolaymat; Antoaneta Canache Muller; Luis Izquierdo; Mary J O'Sullivan; Dibe Martin
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine     Volume:  23     ISSN:  0278-4297     ISO Abbreviation:  J Ultrasound Med     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2004-02-03     Completed Date:  2004-05-17     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8211547     Medline TA:  J Ultrasound Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  43-7     Citation Subset:  IM    
Affiliation:
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Miami School of Medicine, Miami, Florida, USA. vhgonzalez@med.miami.edu
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MeSH Terms
Descriptor/Qualifier:
Chi-Square Distribution
Female
Humans
Obstetric Labor, Premature
Predictive Value of Tests
Pregnancy
Pregnancy Outcome*
Pregnancy Trimester, Second
Pregnancy Trimester, Third
Retrospective Studies
Risk Factors
Ultrasonography, Prenatal*
Umbilical Cord / ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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