Umbilical Cord Length and Intra Uterine Wellbeing

  • Erwin Sarwono and Department of Child Health, Universitas Airlangga Medical School/Dr. Soetomo General Hospital, Surabaya, East Java
  • Disse W. S. Medical student, Academical Medical Centre, University of Amsterdam, Amsterdam, the Netherlands
  • Oudesluys Murphy Dept. of Paediatrics, Zuiderziekenhuis, Rotterdam, the Netherlands
  • Oosting H. Dept. of Medical Fysics, Academical Medical Centre, University of Amsterdam, Amsterdam, the Netherlands
  • De Groot C. J. Dept. of Paediatrics, Academical Medical Centre, University of Amsterdam, Amsterdam, the Netherlands
Keywords: umbilical cord lenght; intrauterine wellbeing; intrapartum complications; meconium stained amniotic fluid; asphyxia

Abstract

The length of the umbilical cord was studied in 179 Indonesian newborn determine the normal range of cord length and its influence on the occurrence of intrapartum complications such as meconium stained amniotic fluid, asphyxia and entanglement of the cord around the fetus. The authors also attempted to investigate whether unfavourable intra uterine conditions could influence cord length. Therefore a correlation between cord length, sex, gestational age, birthweight and headcircumference was sought. The mean length of the umbilical cord was 52.2 cm, with a S.D. of 10.2 cm, ranging from 31-100 cm. Male infants had significantly longer umbilical cords than females (p = 0.02). The risk of complications increased parallel with cord length.

References

1. DUBOWITZ, L.; DUBQWITZ, V.; GOLDBERG, C. : Clinical assessment of gestational age in the Newborn infant : J. Pediat. 77 : 15. (1970)
2. KLOOSTERMAN, G.J .: De voortplantina van de mens, Leerboek voor Obstetric en Gynaecologie; pp 2.53 (Uitgevers maatschapy Centen Bussum 1985).
3. LUBCHENCO, L.O.; HANSMAN, C.; DRESSLER, M.; BOYD, E. : Intra Uterine growth as estimated from liveborn birthweight data at 24-42 weeks of gestation. Pediatrics 32: 793 - 800 (1963).
4. MILLER, M.E.; HIGGINBOTTOM, M.; SMITH, D.W.: Short Umbilical Cord, its origine and relevance. Pediatrics 67 : 816-821.
5. MILLER, M.E.; JONES, M.C.; SMITH, D.W.: Tension : the basis of umbilical cord growth. J. Pediat. 101. : 844 (1982).
6. MILLS, J.L.; HARLEY, E.E.; MOESSINGER, A.C.: Standards for measuring umbilical cord length. Placenta 4 : 423 - 426 (1983).
7. NAEVE, R.L.; Umbilical cord length: clinical significance. J. Paediat. 107 : 278-281 (198.5).
8. RAYBURN, W.F.; BEYNEN, A.; BRINKMAN, D.L.: Umbilical cord length and intrapartum complications. Obstet. Gynecol. 57 : 450-4.52 (1981).
Published
2019-06-17
How to Cite
1.
Sarwono E, S. D, Murphy O, H. O, C. J. DG. Umbilical Cord Length and Intra Uterine Wellbeing. PI [Internet]. 17Jun.2019 [cited 13Nov.2024];31(5-6):136-0. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2211
Section
Neonatology
Received 2019-06-17
Published 2019-06-17