TITLE:
Nuchal Cord at Delivery and Neonatal Outcomes: A Retrospective Cohort Study
AUTHORS:
Mbodji Aissatou, Gueye Mamour, Wade Mouhamadou, Ndiaye Mame Diarra, Dia Aliou Djiby, Cisse Aliou, Ibrahim Rahadat, Ndiaye Mor Talla, Mbaye Magatte
KEYWORDS:
Nuchal Cord, Perinatal Outcome, Philippe Senghor Health Center, Dakar
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.4,
April
25,
2022
ABSTRACT: Objective: The present study was aimed at evaluating the outcome of pregnancies
with a nuchal cord. Methods: A retrospective population-based study of all deliveries during the years
2011-2020 in Philippe Maguilen SENGHOR Center was conducted. Perinatal outcome
of patients with and without nuchal cord was compared. Results: Among 44,958 deliveries during the
study period, 1.8% had a nuchal cord, documented at birth (n = 807). Higher rates of labor
induction (9.1% vs. 3.2%; p 0.001)
and non-reassuring fetal heart rate patterns (RR = 2.366;
CI: 1.631 - 3.432) were noted among pregnancies with nuchal cord as compared with the
control group. The cesarean delivery rate was significantly higher among
pregnancies with a nuchal cord (39.5% vs. 21.8%;
RR = 2333; CI: 2.023 - 2.692). Although 5 min Apgar scores lower than 7
were more common in pregnancies with a nuchal cord (7.8% vs. 3.8%; RR = 2.117; CI: 1.629 - 3.363).
There was no statistical significance between the two groups for the perinatal mortality. Conclusion: Nuchal cord is
associated with prolonged labor and adverse perinatal outcome.