Maduagwu et al
Greener Journal of Medical Sciences
Vol. 11(1), pp. 73-87, 2021
Copyright ©2021, the copyright of this article is retained by the author(s)
The Relationship between Fetal Umbilical Cord Length and Fetal Outcome
Maduagwu AO1; Okonkwo C2; Onyegbule O1; Egwim VA1; Ejelonu TU1
Department of Obstetrics and Gynaecology, Federal Medical Center, Owerri.1
Department of Obstetrics and Gynaecology, University of Benin Teaching Hospital.2
Article No.: 041621036
Background: The umbilical cord develops from the extra-embryonic mesoderm and becomes the channel for blood vessels and through which all exchange and other activities of mother and fetus through placenta are carried out. At term normal umbilical cord length is about 50-70cm and with a diameter of 2.0-2.5cm. There seems to be a positive correlation between fetal umbilical cord length and fetal outcome.
Aim: The aim of the study was to determine the correlation between fetal umbilical cord length and the fetal outcome at the Federal Medical Center, Owerri.
Methodology: This was a cross-sectional study of 427 parturient at term who will meet the eligibility criteria for the study. The socio-demographic information were coded and analysed using the Statistical Packages for Social Sciences (SPSS) version 23.
Results: The mean fetal umbilical cord length in this study was 60.35cm + 10.39cm. the shortest fetal umbilical cord length was 33cm and the longest umbilical cord length was 120cm.. There was poor correlation between birth length and different umbilical cord length. There was a positive correlation between birth length and normal fetal umbilical cord length(r=0.219) and between birth length and long umbilical cord length(r=0.378).The correlation between birth weight and different fetal umbilical cord length showed a positive correlation between birth weight and normal umbilical cord length(r=0.084) and long umbilical cord length(r=0.2467) There was poor positive correlation between APGAR score and short umbilical cord length(r=0.333) as well as between APGAR score and normal umbilical cord length(r=0.034). In overall, the total abnormal fetal umbilical cord length in this study was 4.9%. Also the overall prevalence of cord complication in this study was 3.7%, and the prevalence of cord complication was found to be higher in neonates with abnormal fetal umbilical cord length (P<0.0001, χ2= 1.457). The fetal out come between abnormal fetal umbilical cord length and normal umbilical cord length was statistically significant (P<0.0001).
There was significant association between different cord complication and fetal umbilical cord length status (P<0.0006, χ2= 18.288).
Conclusion; The study showed that the fetal umbilical cord length is variable. The maximum number of cases had normal umbilical cord length. Abnormal umbilical cord length had higher prevalence of cord complication. There are significant positive correlation between fetal umbilical cord length with birth weight, birth length.
Dr. Maduagwo AO
Email: anslemobitex@ gmail,com; nslemoitex@ gmail.com
relationship; fetal; umbilical; cord; length; outcome
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Cite this Article: Maduagwu AO; Okonkwo C; Egwim VA; Ejelonu TU (2021). The Relationship between Fetal Umbilical Cord Length And Fetal Outcome. Greener Journal of Medical Sciences, 11(1): 73-87.
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