Article
Licensed
Unlicensed
Requires Authentication
Coiling characteristics of umbilical cords in breech vs. vertex presentation
-
Yifat Ochshorn
Published/Copyright:
June 4, 2009
Abstract
Objective: To compare selected umbilical cord parameters, especially cord coiling, between breech and vertex presentations.
Methods: We prospectively collected umbilical cords from uncomplicated breech and vertex obtained during elective term cesarean deliveries. We compared various cord parameters between the two groups as well as data regarding obstetric history and pregnancy outcome.
Results: We evaluated 55 umbilical cords from breech and 55 from vertex deliveries. Umbilical cord length (56.93 cm vs. 63.95 cm, P=0.05), number of coils (5.1±0.4 vs. 11.7±0.6, P<0.0001) and umbilical cord index (UCI) (0.09 coils/cm vs. 0.18 coils/cm, P<0.0001) were all significantly lower for breech presentations and remained significant following multivariate analysis.
Conclusion: We document significant differences in umbilical coiling and the UCI between breech and vertex presentation. The precise reason for these differences is still unclear.
Received: 2008-12-2
Revised: 2009-2-3
Accepted: 2009-3-26
Published Online: 2009-06-04
Published Online: 2009-06-04
Published in Print: 2009-09-01
©2009 by Walter de Gruyter Berlin New York
You are currently not able to access this content.
You are currently not able to access this content.
Articles in the same Issue
- Recommendations and guidelines for perinatal practice
- Guidelines on CMV congenital infection
- Minireviews
- Towards new diagnostic criteria for diagnosing GDM – the HAPO study
- Surveillance during labour
- Limit of viability in Japan: ethical consideration
- Review article
- Outpatient induction – how safe
- Original articles – Obstetrics
- Increased inositol phosphoglycan P-type in the second trimester in pregnant women with type 2 and gestational diabetes mellitus
- A randomized trial of cerclage vs. 17 α-hydroxyprogesterone caproate for treatment of short cervix
- Umbilical cord insertion site in early gestation and development of placenta
- Inappropriate use of vancomycin for preventing perinatal group B streptococcal (GBS) disease in laboring patients
- Vitamin D receptor genotype BB is associated with higher serum osteocalcin in first pregnancy
- Arylsulphatase A activity and sulphatide concentration in placenta, membranes and cord after delivery
- Amniotic fluid angiopoietin-2 in term and preterm parturition, and intra-amniotic infection/inflammation
- Long chain polyunsaturated fatty acids in mothers and term babies
- Body mass index, Bishop score, and sonographic measurement of the cervical length as predictors of successful labor induction in twin gestations
- Original articles – Fetus
- Coiling characteristics of umbilical cords in breech vs. vertex presentation
- Fetal short time variation during labor: a non-invasive alternative to fetal scalp pH measurements?
- Prenatal diagnosis and postnatal management of meconium peritonitis
- When uncertainty generates more anxiety than severity: the prenatal experience with cystic adenomatoid malformation of the lung
- Evidence of changes in the immunophenotype and metabolic characteristics (intracellular reactive oxygen radicals) of fetal, but not maternal, monocytes and granulocytes in the fetal inflammatory response syndrome
- Original articles – Newborn
- Nicotine affects the expression of brain-derived neurotrophic factor mRNA and protein in the hippocampus of hypoxic newborn piglets
- Effect of exogenous surfactant therapy on levels of pulmonary surfactant proteins A and D in preterm infants with respiratory distress syndrome
- Letters to the Editor
- Use and abuse of cesarean section – a transatlantic evaluation
- Elective cesarean delivery at 38 weeks' gestation: Is the timing too early?
- Grasping activity in utero: a significant indicator of fetal behavior (The role of the grasping reflex in fetal ethology)
- Reply
- Prevention of intrauterine growth restriction: are there no effective methods available?
- Obituary
- The death of Prof. Albert Huch
- Congress calendar
- Congress Calendar
- Erratum
- Hematological profile of Korean very low birth weight infants
Keywords for this article
Breech presentation;
fetus;
umbilical coiling index;
umbilical cord;
vertex presentation
Articles in the same Issue
- Recommendations and guidelines for perinatal practice
- Guidelines on CMV congenital infection
- Minireviews
- Towards new diagnostic criteria for diagnosing GDM – the HAPO study
- Surveillance during labour
- Limit of viability in Japan: ethical consideration
- Review article
- Outpatient induction – how safe
- Original articles – Obstetrics
- Increased inositol phosphoglycan P-type in the second trimester in pregnant women with type 2 and gestational diabetes mellitus
- A randomized trial of cerclage vs. 17 α-hydroxyprogesterone caproate for treatment of short cervix
- Umbilical cord insertion site in early gestation and development of placenta
- Inappropriate use of vancomycin for preventing perinatal group B streptococcal (GBS) disease in laboring patients
- Vitamin D receptor genotype BB is associated with higher serum osteocalcin in first pregnancy
- Arylsulphatase A activity and sulphatide concentration in placenta, membranes and cord after delivery
- Amniotic fluid angiopoietin-2 in term and preterm parturition, and intra-amniotic infection/inflammation
- Long chain polyunsaturated fatty acids in mothers and term babies
- Body mass index, Bishop score, and sonographic measurement of the cervical length as predictors of successful labor induction in twin gestations
- Original articles – Fetus
- Coiling characteristics of umbilical cords in breech vs. vertex presentation
- Fetal short time variation during labor: a non-invasive alternative to fetal scalp pH measurements?
- Prenatal diagnosis and postnatal management of meconium peritonitis
- When uncertainty generates more anxiety than severity: the prenatal experience with cystic adenomatoid malformation of the lung
- Evidence of changes in the immunophenotype and metabolic characteristics (intracellular reactive oxygen radicals) of fetal, but not maternal, monocytes and granulocytes in the fetal inflammatory response syndrome
- Original articles – Newborn
- Nicotine affects the expression of brain-derived neurotrophic factor mRNA and protein in the hippocampus of hypoxic newborn piglets
- Effect of exogenous surfactant therapy on levels of pulmonary surfactant proteins A and D in preterm infants with respiratory distress syndrome
- Letters to the Editor
- Use and abuse of cesarean section – a transatlantic evaluation
- Elective cesarean delivery at 38 weeks' gestation: Is the timing too early?
- Grasping activity in utero: a significant indicator of fetal behavior (The role of the grasping reflex in fetal ethology)
- Reply
- Prevention of intrauterine growth restriction: are there no effective methods available?
- Obituary
- The death of Prof. Albert Huch
- Congress calendar
- Congress Calendar
- Erratum
- Hematological profile of Korean very low birth weight infants
