Open AccessEVALUATION OF UMBILICAL COILING INDEX AS A SCREENING TOOL FOR FETUSES AT RISK
Author(s) -
K Kameswaramma,
M. Deepthi
Publication year - 2022
Publication title -
paripex indian journal of research
Language(s) - English
DOI - 10.36106/paripex/7200110
Subject(s) - medicine , umbilical cord , fetus , percentile , obstetrics , gestational age , amniotic fluid index , birth weight , pregnancy , amniotic fluid , anatomy , statistics , mathematics , biology , genetics
BACKGROUND: The umbilical cord is the lifeline of the foetus as it supplies water, nutrients, and oxygen. Protection ofthese blood vessels is needed and provided by Wharton's Jelly, amniotic fluid and the helical pattern, or coiling, of theumbilical cord vessels.OBJECTIVES: To establish the relationship between antenatal umbilical cord coiling index (aUCI) measured at 16–20weeks along with level II USG and adverse perinatal outcomes.METHODS:A cross-sectional study was conducted on 302 antenatal women, enrolled at the time of fetal anatomicsurvey, and their cord coiling index (aUCI) was measured, and its association with perinatal outcomes was observed.Umbilical coiling index was classified as Hypocoiled if UCI 90th percentile, normocoiledbetween 10th and 90th percentile.RESULTS:302 antenatal women were enrolled for the study. Mean aUCI was 0.43 ± 0.30 (normocoiled group), 0.18 ± 0.4(hypocoiled), and 0.53 ± 0.05 (hypercoiled group). The average gestational age at delivery in hypocoiled group was 36.8± 2.34 weeks, and it was shorter than 38.3 ± 1.82 weeks of the normocoiled group and 38.9 ± 1.72 weeks of thehypercoiled group. Mean birth weight observed was 2055 ± 744 (hypocoiled group), 3049 ± 564 (hypercoiled), and 3102± 564 (normocoiled) p<0.001. Preterm births 52 (59%) and low birth weight 76 (69%) were significantly associated withhypocoiling. Abnormal umbilical cord coiling index, detected at the fetal ultrasound anatomic survey CONCLUSION: .In the second trimester (16–20 weeks), can be used potentially used as a screening or as a predictive tool for adverseantenatal or perinatal events.