Umbilical Cord Coiling Index Sonographic Evaluation in its Relationship with Perinatal Outcome and Late Second Trimester

Abstract

Objectives: To assess the relationship between perinatal results along with umbilical cord coiling index derived from sonographer solutions. Study Design: This predictive research was executed in the OBG department of radiology at Vinayaka missions Kirupananda Variyar medical college and hospital of Medical Sciences, Salem, India from April, 2021 to September, 2021. Of the 60 patients included in the study, single pregnancies with direct vaginal / LSCS babies, regardless of equality, with active delivery from the second trimester to final pregnancy. From the results of the ultrasound, the "umbilical cord coiling index" was correlated and calculated with different perinatal criteria such as equivalence, gestational hypertension (PIH), gestational diabetes (GD) and l gestational age (in weeks), Delivery method and Apgar score.  Fisher tests and Chi-squared were assist to determine the importance of the parameter findings. Results: The current results of the ultrasound evaluation show that the UCI provides a significant correlation with hypocrite coils (UCI> 90%), babies PIH (p-value <0.05), and GDM (p-value 0.044) Hypocoiled (UCI<10%) and Hypercoiled cords (p <0.05) were significantly related to the Apgar score (p less than 0.05). Conclusion: hypercoiled Coils or UCI> 90% is associated with IUGR and is part of primary perinatal results such as PIH and GDM. Both hypocoiled and hypercoied cords, and UCI <10%, linked to the Apgar score for the perinatal results, thus showing a greater correlation with the UCI index. Keywords: Hypercoiling umbilical cord, Umbilical cord coiling index, Hypocoiling umbilical cord