Impact of cord entanglement on perinatal outcome

Reem Zabit, Dan Tirosh, Neta Benshalom-Tirosh, Yael Baumfeld, Ralika Hershkovitz, Joel Baron

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To evaluate the impact of umbilical cord entanglement around various fetal organs on perinatal outcomes. Study design: A retrospective population-based study of all deliveries between 1988 and 2016 at a tertiary medical center. Immediate perinatal outcomes of newborns with and without cord entanglement were compared. Results: The prevalence of any cord entanglement in our population was 16.62 % (45,312 cases out of 272,713 deliveries during the study period). Cord entanglement was found to be significantly associated with antepartum fetal death (OR = 2.13, 95 % CI 1.77–2.57, p < 0.001) and one-minute Apgar score less than 7 (OR = 1.21, 95 % CI 1.16–1.27, p < 0.001). There was no association between cord entanglement and small for gestational age (SGA) babies. Conclusion: Cord entanglement is associated with antepartum fetal death, but not with SGA.

Original languageEnglish
Pages (from-to)163-166
Number of pages4
JournalEuropean Journal of Obstetrics and Gynecology and Reproductive Biology
Volume299
DOIs
StatePublished - 1 Aug 2024

Keywords

  • Antepartum fetal death
  • Cord entanglement
  • Small for gestational age

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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