Study on Types of Umbilical Cord Insertion in Normal and Intrauterine Growth Restriction
DOI:
https://doi.org/10.37506/hde2bx31Keywords:
intrauterine growth restriction, placental insufficiency, feto placental ratio, placental coefficient.Abstract
Background: Intrauterine growth restriction (IUGR) is said to be in neonates whose birth weight is less than
tenth percentile of the average for gestational age. IUGR is associated with short and long-term complications
which can severely impact quality of life. Placental size, weight and shape may vary within wide extreme values.
Ability to transfer nutrients is related to placental size. Decreased placental surface area and size are associated
with increased risk of IUGR. Umbilical cord is the key marker for intrauterine complications. It is one of the most
important part of fetoplacental unit that transfer vital nutrients to fetus. This current study was taken to find out
the difference in placental morphometric features and to find the correlation between placental and neonatal
weight.
Materials and methods: This study included 100 samples which were equally divided into cases and controls.
Placenta was collected after delivery and the data is measured quantitatively.
Results: Central insertion of umbilical cord observed in IUGR in our study was 40%, eccentric was 20%, marginal
was 38%, velamentous insertion was 2% while furcate insertion observed was nil in our study.
Conclusion: Central and marginal insertion was prevalent in IUGR in our study. Types of cord insertion plays also
plays role in transfer of nutrients. Vasculature being the most important factor the growth of fetus, any imbalance
in it will alter the growth.
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