Nuchal cords and neonatal outcome

Gary Hankins, Russell Snyder, J. C. Hauth, L. C. Gilstrap, T. Hammond

Research output: Contribution to journalArticle

56 Citations (Scopus)

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 110 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 associated with an increased prevalence of variable FHR decelerations in the first and second stages of labor and with an increased incidence of umbilical artery acidemia.

Original languageEnglish (US)
Pages (from-to)687-691
Number of pages5
JournalObstetrics and Gynecology
Volume70
Issue number5
StatePublished - 1987
Externally publishedYes

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Nuchal Cord
Umbilical Arteries
Second Labor Stage
First Labor Stage
Fetal Heart Rate
Deceleration
Newborn Infant
Pregnancy
Incidence

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Hankins, G., Snyder, R., Hauth, J. C., Gilstrap, L. C., & Hammond, T. (1987). Nuchal cords and neonatal outcome. Obstetrics and Gynecology, 70(5), 687-691.

Nuchal cords and neonatal outcome. / Hankins, Gary; Snyder, Russell; Hauth, J. C.; Gilstrap, L. C.; Hammond, T.

In: Obstetrics and Gynecology, Vol. 70, No. 5, 1987, p. 687-691.

Research output: Contribution to journalArticle

Hankins, G, Snyder, R, Hauth, JC, Gilstrap, LC & Hammond, T 1987, 'Nuchal cords and neonatal outcome', Obstetrics and Gynecology, vol. 70, no. 5, pp. 687-691.
Hankins G, Snyder R, Hauth JC, Gilstrap LC, Hammond T. Nuchal cords and neonatal outcome. Obstetrics and Gynecology. 1987;70(5):687-691.
Hankins, Gary ; Snyder, Russell ; Hauth, J. C. ; Gilstrap, L. C. ; Hammond, T. / Nuchal cords and neonatal outcome. In: Obstetrics and Gynecology. 1987 ; Vol. 70, No. 5. pp. 687-691.
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