Funiculars anomalies during childbirth: about 562 cases collected in Pikine National Hospital

Authors

  • Moussa Diallo Department of Obstetrics and Gynecology, Centre Hospitalier National de Pikine Sis Camp de Thiaroye, Dakar, Senegal
  • Abdoul Aziz Diouf Department of Obstetrics and Gynecology, Centre Hospitalier National de Pikine Sis Camp de Thiaroye, Dakar, Senegal
  • Cire Espérance Koulimaya Department of Obstetrics and Gynecology, Centre Hospitalier National de Pikine Sis Camp de Thiaroye, Dakar, Senegal
  • Niang Y. Department of Obstetrics and Gynecology, Centre Hospitalier National de Pikine Sis Camp de Thiaroye, Dakar, Senegal
  • Astou Coly Niassy Diallo Department of Obstetrics and Gynecology, De l’Hôpital Aristide Le Dantec, Dakar, Senegal
  • Mame Diarra Ndiaye Department of Obstetrics and Gynecology, De l’Hôpital Aristide Le Dantec, Dakar, Senegal
  • Omar Gassama Department of Obstetrics and Gynecology, De l’Hôpital Aristide Le Dantec, Dakar, Senegal
  • Niang M. Department of Obstetrics and Gynecology, De l’Hôpital Aristide Le Dantec, Dakar, Senegal
  • Gueye M. Department of Obstetrics and Gynecology, De l’Hôpital Aristide Le Dantec, Dakar, Senegal
  • Moreau J. C. Department of Obstetrics and Gynecology, De l’Hôpital Aristide Le Dantec, Dakar, Senegal
  • Diouf A. Department of Obstetrics and Gynecology, Centre Hospitalier National de Pikine Sis Camp de Thiaroye, Dakar, Senegal

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20164319

Keywords:

Anomalies funiculars, Childbirth, Dystocia, Prolapsed cord

Abstract

Background: Establish an epidemiological description of the different types of umbilical cord anomalies in our reference structure and to assess their impact on the prognosis of childbirth.

Methods: We conducted a descriptive study, cross over a period of one year in Obstetrics and Gynecology Service Level III of Pikine Hospital. We included all women in labor have reached the term less than 28 weeks gestation and delivering a newborn with umbilical cord abnormality diagnosed during labor or during the expulsion.

Results: During this period, we compiled 562 anomalies of the umbilical cord, which gave a frequency of 23.8%. Length discrepancies were far the most frequent (67.4%). Only the prolapsed cord was an independent risk factor for cesarean section (p = 0.036). The rate of episiotomy and tear was significantly higher in case of brevity (primitive or induced) cord (p = 0.042). Apgar score ≤7 was significantly related to the presence of brevity (p = 0.000), excessive length (p = 0.048) or cord prolapse (p = 0.037).

Conclusions: This study has allowed us to see that the funicular abnormalities impede the smooth running of childbirth. Their occurrence is facilitated by the excess amniotic fluid, prematurity and low birth weight. Their research during prenatal ultrasounds should be systematic.

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Published

2016-12-07

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Section

Original Research Articles