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Publication Date:
June 2009
ISSN:
1619-3997
DOI:
10.1515/JPM.2009.095

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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Greenough, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Aslam, Muhammad / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Brezinka, Christoph / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / Dimitrou, G. / Foulon, Walter / Grunebaum, G. E. / Harding, Jane / Hentschel, Roland / Kawabata, Ichiro / Keirse, M.J.M.C. / Kurjak M.D., Asim / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Nishida, Hiroshi / Papp, Zoltán / Makatsariya, Alexander / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Geijn, Herman P. / Vetter, Klaus / Young, Bruce K. / Zimmermann, Roland / Köpcke, W.

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Coiling characteristics of umbilical cords in breech vs. vertex presentation

Yifat Ochshorn1 / Guy Bibi1 / Jessica Ascher-Landsberg1 / Michael J. Kupferminc1 / Joseph B. Lessing1 / Ariel Many1

1Department of Obstetrics and Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Affiliated to Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

Corresponding author: Ariel Many, MD Department of Obstetrics and Gynecology Lis Maternity Hospital Tel Aviv Sourasky Medical Center 6 Weizmann St. Tel Aviv 64239 Israel Tel.: +972-3-6925633 Fax: +972-3-6925755

Citation Information: Journal of Perinatal Medicine. Volume 37, Issue 5, Pages 525–528, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: 10.1515/JPM.2009.095, June 2009

Publication History:
Received:
2008-12-02
Revised:
2009-02-03
Accepted:
2009-03-26
Published Online:
2009-06-04

Abstract

Objective: To compare selected umbilical cord parameters, especially cord coiling, between breech and vertex presentations.

Methods: We prospectively collected umbilical cords from uncomplicated breech and vertex obtained during elective term cesarean deliveries. We compared various cord parameters between the two groups as well as data regarding obstetric history and pregnancy outcome.

Results: We evaluated 55 umbilical cords from breech and 55 from vertex deliveries. Umbilical cord length (56.93 cm vs. 63.95 cm, P=0.05), number of coils (5.1±0.4 vs. 11.7±0.6, P<0.0001) and umbilical cord index (UCI) (0.09 coils/cm vs. 0.18 coils/cm, P<0.0001) were all significantly lower for breech presentations and remained significant following multivariate analysis.

Conclusion: We document significant differences in umbilical coiling and the UCI between breech and vertex presentation. The precise reason for these differences is still unclear.

Keywords: Breech presentation; fetus; umbilical coiling index; umbilical cord; vertex presentation

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