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VOLUME 15 , ISSUE 6 ( November-December, 2023 ) > List of Articles

ORIGINAL RESEARCH

A Prospective Study to the Evaluate Umbilical Coiling Index as a Marker of Maternal Outcome

Asna Aafreen, Apoorv Pankaj, Aprajita Pankaj

Keywords : Abnormal coiling index, Hypercoiling, Hypocoiling, Maternal outcome

Citation Information : Aafreen A, Pankaj A, Pankaj A. A Prospective Study to the Evaluate Umbilical Coiling Index as a Marker of Maternal Outcome. J South Asian Feder Obs Gynae 2023; 15 (6):654-657.

DOI: 10.5005/jp-journals-10006-2350

License: CC BY-NC 4.0

Published Online: 04-12-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aim: A prospective study to evaluate the umbilical coiling index as an indicator of maternal outcome. Research is being undertaken to calculate the abnormal coiling index (hypercoiling or hypocoiling) and determine its adverse pregnancy outcomes. Materials and methodology: Prospective observational research was done in the Department of Gynaecology & Obstetrics at Lilavati Hospital, India, from February 2018 to March 2019. The sample size was 141 (patients admitted to the hospital for delivery). Results: Abnormal cord coiling is hypocoiled or hypercoiled. The present study reveals that abnormal cord coiling is not associated with a period of gestation at delivery, age of the mother, mode of delivery, chronic hypertension (HTN), pregnancy-induced hypertension (PIH), or gestational diabetes in the mother. Conclusion: Abnormal cord coiling causes adverse outcomes. The reason for this abnormal coiling is not identified. Not many studies have been undertaken to determine the coiling index and its pregnancy outcome. Thus, prospective studies should be carried out to find the reason for abnormal umbilical cord coiling, and thus, to find means for preventing adverse pregnancy outcomes. Umbilical cord coiling index (UCI) assessment antenatally can also become an important variable to be assessed. This can help us in identifying patients who may have adverse outcomes. Clinical significance: Abnormal umbilical coiling index is linked with poor pregnancy outcomes and its antenatal as well as postnatal determination should be incorporated into clinical practice.

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