Elektif Sezaryen Olgularında Kordon Dolanması

INTRODUCTION: The aim of this study was to investigate the incidence of nuchal cord entanglement and neonatal outcomes after elective cesarean delivery.
METHODS: In the study, 1784 viable singleton pregnancies who were delivered by elective caesarean at term from January 2005
to April 2011 were included. Maternal and fetal complications were excluded from the study. The incidence of nuchal cord entanglement was found in the study group. Characteristics of the groups with and without cord entanglement and perinatal outcomes were compared. Chi-square test was used for the statistical analysis. Statistical significance was defined as p < 0.05.
RESULTS: The incidence of nuchal cord entanglement was 10.3%. There were no statistically significant differences in either NICU admission, maternal age,1-minute Apgar score, neonatal gender and birth weight between the two groups. The incidence of nuchal cord increases as gestational age at delivery increased (p <0.001). Newborns with nuchal cord demonstrated an increased rate for meconium-stained amniotic fluid (p<0.001).
DISCUSSION AND CONCLUSION: There were no statistically significant association between adverse neonatal outcomes and nuchal cord. When evaluating the last
trimester and post term pregnancies, we should investigate nuchal cord for preventing the meconium-stained amniotic fluid and complications of meconium.