Skip Navigation LinksHome > November 1987 - Volume 70 - Issue 5 > Nuchal Cords and Neonatal Outcome.
Obstetrics & Gynecology:
Article: PDF Only

Nuchal Cords and Neonatal Outcome.

HANKINS, GARY D. V. MD; SNYDER, RUSSELL R. MD; HAUTH, JOHN C. MD; GILSTRAP, LARRY C. III MD; HAMMOND, TERRY RN

Collapse Box

Abstract

To assess the significance of nuchal cords, 110 affected woman-infant pairs at term gestation were compared with 110 control pairs. Newborns with a nuchal cord had an increased prevalence of umbilical artery acidemia (22 of I10 versus 13 of 110; P < .05) and more variable fetal heart rate (FHR) decelerations in the first stage of labor (mild = 41 versus 20; P < .0001; moderate-severe = 21 versus 5; P < .0001) and the second stage of labor (moderate-severe = 46 versus 21; P < .0001). In newborns with a nuchal cord, the umbilical artery acidemia was usually mixed (68%) or respiratory (23%) in origin, and pure metabolic acidemia was infrequent (9%). We conclude that nuchal cords are associ- ated with an increased prevalence of variable FHR deceler- ations in the first and second stages of labor and with an increased incidence of umbilical artery acidemia.

(C) 1987 The American College of Obstetricians and Gynecologists

Login

Article Tools

Share