PMID- 37012952
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230405
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 15
IP  - 3
DP  - 2023 Mar
TI  - A Longitudinal Analytical Study on Umbilical Cord Coiling Index as a Predictor of 
      Pregnancy Outcome.
PG  - e35680
LID - 10.7759/cureus.35680 [doi]
LID - e35680
AB  - Background The umbilical cord coiling index (UCI) is usually measured 
      sonographically during antenatal follow-up and can be used to determine the 
      fetuses at risk of adverse outcomes. Methodology UCI measured antenatally and 
      postnatally whose correlation is studied along with the association of abnormal 
      UCI with the adverse outcomes in terms of gestational age, intrauterine growth 
      restriction (IUGR), intra-uterine death, birth weight, sex, neonatal intensive 
      care unit (NICU) admission, the color of the liquor, Amniotic Fluid Index (AFI), 
      Appearance, Pulse, Grimace, Activity, and Respiration (APGAR) score at one min 
      and five mins and mode of delivery. All parameters are tested for significant 
      differences among UCI and a p-value < 0.05 is considered significant. The 
      correlation of UCI measured antenatally and postnatally is tested using the 
      spearman correlation coefficient. Results A strong correlation is found between 
      antenatal UCI and postnatal UCI with r(s) 0.9. The majority of the population had 
      normo coiling. Hyper and hypo coiling are associated risks of emergency lower 
      segment cesarean section (LSCS). Low birth weight is seen in 88.89% of hypo 
      coiled patients with a p-value < 0.01. The coiling index among sex is found to be 
      insignificant with a p-value of 0.81. Meconium-Stained Liquor (MSL) is seen in 
      78.5% of hyper coiled patients. IUGR is found to be associated with hypo coiling 
      as seen in 59.2% of patients with significant p-value (< 0.01). Age, gestational 
      age, and birth weight are found to be statistically significant between various 
      coiling indexes with p-value < 0.05. Conclusion Antenatal UCI correlates with 
      postnatal UCI and any abnormal index found can be used as a predictor of adverse 
      perinatal outcomes and help obstetricians to monitor continuously and put the 
      patients at risk on prophylactic measures.
CI  - Copyright (c) 2023, Subashini et al.
FAU - Subashini, Gopinath
AU  - Subashini G
AD  - Obstetrics and Gynaecology, Annaii Medical College and Hospital, Sriperumbudur, 
      IND.
FAU - Anitha, Christina
AU  - Anitha C
AD  - Radiology, Panimalar Medical College Hospital and Research Institute, Chennai, 
      IND.
FAU - Gopinath, Ganesan
AU  - Gopinath G
AD  - Radiology, Panimalar Medical College Hospital and Research Institute, Chennai, 
      IND.
FAU - Ramyathangam, K
AU  - Ramyathangam K
AD  - Obstetrics and Gynaecology, Employees State Insurance (ESI) Medical College and 
      Post Graduate Institute of Medical Sciences and Research (PGIMSR), Chennai, IND.
LA  - eng
PT  - Journal Article
DEP - 20230302
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC10066625
OTO - NOTNLM
OT  - adverse outcomes
OT  - antenatal
OT  - emergency lscs
OT  - postnatal
OT  - umbilical cord coiling index
COIS- The authors have declared that no competing interests exist.
EDAT- 2023/04/05 06:00
MHDA- 2023/04/05 06:01
PMCR- 2023/03/02
CRDT- 2023/04/04 01:57
PHST- 2023/03/02 00:00 [accepted]
PHST- 2023/04/05 06:01 [medline]
PHST- 2023/04/04 01:57 [entrez]
PHST- 2023/04/05 06:00 [pubmed]
PHST- 2023/03/02 00:00 [pmc-release]
AID - 10.7759/cureus.35680 [doi]
PST - epublish
SO  - Cureus. 2023 Mar 2;15(3):e35680. doi: 10.7759/cureus.35680. eCollection 2023 Mar.