Nuchal cords and neonatal outcome

Academic Article

Abstract

  • To assess the significance of nuchal cords, 110 affected woman-infant pairs at term gestation were compared with 110 control pairs. Newborns with a nuchal cord had an increased prevalence of umbilical artery acidemia (22 of I10 versus 13 of 110; P <.05) and more variable fetal heart rate (FHR) decelerations in the first stage of labor (mild = 41 versus 20; P <.0001; moderate-severe = 21 versus 5; P <.0001) and the second stage of labor (moderate-severe = 46 versus 21; P <.0001). In newborns with a nuchal cord, the umbilical artery acidemia was usually mixed (68%) or respiratory (23%) in origin, and pure metabolic acidemia was infrequent (9%). We conclude that nuchal cords are associ- ated with an increased prevalence of variable FHR deceler- ations in the first and second stages of labor and with an increased incidence of umbilical artery acidemia. © 1987 by The American College of Obstetricians and Gynecologists.
  • Authors

    Published In

    Pubmed Id

  • 24813783
  • Author List

  • Hankins GDV; Snyder RR; Hauth JC; Gilstrap LC; Hammond T
  • Start Page

  • 687
  • End Page

  • 691
  • Volume

  • 70
  • Issue

  • 5