Abida Nasreen, Hina Niaz.
Nuchal cord; nuchal cord prevalence & perinatal outcome in cases presented in Khyber teaching hospital, Peshawar: a tertiary care hospital..
Professional Med J Jan ;26(01):109-15.

Objectives: To report nuchal cord prevalence and perinatal outcome in cases presented in a tertiary care hospital at Peshawar. Study Design: It is a cross sectional prospective study. Duration: The period of study was 18 months from 01.01. 2013 to 30.06 2014. Setting: Department of Obstetrics and Gynaecology, “C” unit of Khyber Teaching Hospital Peshawar. Methodology: In this study, 705 cases with nuchal cord were included out of 4746 cases. After admission detailed obstetrics history, general physical, abdominal, pervaginal examination, and pelvic assessment was also done. All the patients were closely observed for the feto-maternal outcomes. Maternal age, parity, mode of delivery, fetal distress, meconium presence in liquor and APGAR score, abnormal fetal heart rate, admission to neonatology unit, presence of nuchal cord at delivery, and other were noted. Results: A total of 705 (14.85%) cases had nuchal cord. The single loop of cord was recorded in 63% cases, 50.63% cases were loose and diagnosed during delivery in 61.5% cases. FHR irregularities were in 18.29% cases in 28.5% cases recorded the meconium staining of liquor. APGAR score < 7 at 1-minute was in 28.22% cases. The maternal-age ranged 15-40 years and majority (37.02%) was multigravida. 50.49% the maximum cases in which normal vaginal delivery was done. Conclusion: Nuchal cord frequency was observed not higher as compared to reported previously. At the time of delivery, maximum cases were detected and minimum fetal adverse outcomes. The main mode of delivery was normal vaginal delivery.

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