FETO-Maternal Outcome in Primigravida Having Single Loop of Cord Round the Neck

The objectives of the study were to compare the progress of labour, need of medical and surgical interventions and fetomaternal outcome in primigravidae with cord round neck versus without cord round neck at term or onset of labour. This study was performed at Mahila chiktsalaya, SMS Medical college Jaipur l from dec 2010 to December 2011. A total of 200 cases were studied over a 1 yr period. Among these, 100 had cord round neck and 100 control without cord round neck. 75% cases had delivered vaginally and cesarean was done in 24% cases . Instrumental delivery in1% . Among control groups 91% women delivered vaginally. Casarean was done in 9% Obstetrical and neonatalvariables were compared in the loose and tight nuchal cord groups and a control group (no nuchal cord) Majority of cases 75% were delivered vaginally wit minimal maternal fetal morbidity indicates that cord round the neck is not an indication for cesarean until unless cord was tight and causing fetal distress. Loose nuchal cord may not associated with adverse perinatal outcome. However, tight nuchal cord associated with increased risk of low apgar score, increased NICU admission. Evidence of fetal distress cases seen in 16% cases and outcome was poor in 3% cases. As compared to control group fetal distress was seen in 9% and fetal outcome was poor only in 0%. Maternal outcome was good in 100% in both control and cases.