EVALUATION OF UMBILICAL CORD THICKNESS, CROSS-SECTIONAL AREA AND COILING INDEX DURING LABOUR AND FETAL OUTCOME.

Objectives:- To evaluate the perinatal outcome with the abnormal umbilical cord thickness, cross sectional area and index. Study Design:- This prospective study was carried out in Benha university hospital faculty of medicine Obs and Gyna department. Two hundred women were in active labour at term gestations, and irrespective of their parities, they were having singleton pregnancies with live babies , were delivered by vaginal root Umbilical cord coiling index , thickness and cross sectional area were calculated and were correlated with various perinatal parameters like birth weight, meconium stained liquor, Apgar score, ponderal index and foetal growth restriction. Results:- There was a significant correlation between the hypercoiled cords (UCI >90th percentile) and meconium staining (p value < 0.001) and Apgar score at 1 min of <4 and at 5 min of <7 (p value 0.001) and there was a significant correlation between hypocoiling and meconium stainging p<0.001 FBW and apgar score at 1<4 and at 5 mint >7 (P–value 0.001). Conclusion:- Hypercoiled cords or UCI which was > 90th percentile was associated with meconium staining and low apgarscore at one and five minute. While hypocoiled cord or UCI which was <10th percentile was associated with low birth weight, meconium staining and apgerscore at 1 min <4 and at 5 min of <7.