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The Journal of Obstetrics and Gynecology of India
Published in: The Journal of Obstetrics and Gynecology of India 6/2012

01-12-2012 | Original Article

Association of Umbilical Coiling Index by Colour Doppler Ultrasonography at 18–22 Weeks of Gestation and Perinatal Outcome

Authors: Bindu Sharma, Neelam Bhardwaj, Shashi Gupta, Pradeep Kumar Gupta, Asha Verma, Kusumlata Malviya

Published in: The Journal of Obstetrics and Gynecology of India | Issue 6/2012

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Abstract

Objective

To study the association between antenatal umbilical coiling index (aUCI) and perinatal outcome.

Methods

600 primigravidas with uncomplicated singleton pregnancies had an ultrasonography between 18 and 22 weeks of gestation for aUCI by colour Doppler. The aUCI was calculated as the reciprocal of the distance between a pair of coils. It was then correlated with the following pregnancy outcomes: birth weight, mode of delivery, meconium staining of liquor, Apgar scores and gestational age. The results were statistically analysed by χ2-test.

Results

The mean aUCI was 0.41. Undercoiling was associated with spontaneous preterm delivery (47.87 %), low Apgar score (52.13 %), LBW (52.59 %), FGR (21.28 %) and NICU admission (76.34 %). Overcoiling was associated with preterm deliveries (65.38 %), increased caesarean sections (61.54 %), meconium staining of liquor (67.31 %), low Apgar score (63.46 %) and NICU admission (72.55 %). There was a positive strong correlation between aUCI and birth weight (r = +0.426)

Conclusions

Abnormal coiling is strongly correlated with low birth weight.
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Metadata
Title
Association of Umbilical Coiling Index by Colour Doppler Ultrasonography at 18–22 Weeks of Gestation and Perinatal Outcome
Authors
Bindu Sharma
Neelam Bhardwaj
Shashi Gupta
Pradeep Kumar Gupta
Asha Verma
Kusumlata Malviya
Publication date
01-12-2012
Publisher
Springer-Verlag
Published in
The Journal of Obstetrics and Gynecology of India / Issue 6/2012
Print ISSN: 0971-9202
Electronic ISSN: 0975-6434
DOI
https://doi.org/10.1007/s13224-012-0230-0

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