OUTCOMES OF TRIAL OF LABOUR OF NUCHAL CORD
Keywords:
nuchal cord, perinatal oucome, apgar scoreAbstract
Objective: To find out the maternal and perinatal outcomes in cases of trial of labour of babies with nuchal cord.
Material and Methods: A retrospective, one year cross-sectional study done at Kalsoom Maternity Hospital (KMH), Peshawar. During this period, patients were enrolled in the study and were analyzed for presence of nuchal cord prior to and at the time of delivery, number of coils , spontaneous labour, intrapartum complications, outcomes of labour whether normal delivery, instrumental delivery or emergency caesarian section and perinatal outcome. As a measure of perinatal outcome Apgar score at 5 minutes and incidence of neonatal unit admission was taken. The cases with nuchal cord at the time of delivery were 258 taken as study group.
Results: Incidence of nuchal cord was 10.6%. 211 patients with nuchal cord had normal vaginal delivery with 81% babies good apgar score >7 . Of the patients undergoing trial 10.8% ended up into instrumental delivery and 7.4% had emergency section. Of the patients who had section 13% had fetal distress with meconium stained liquor and fetal bradycardia, and 6 patients had failure to progress.
Conclusion: Nuchal cord is not associated with adverse perinatal outcome therefore should not influence mode of delivery.
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