AbstractAim: The aim of the present study was to assess the impact of umbilical cord abnormalities on neonatal outcome.Material & Methods: A retrospective study was conducted in Department of Obstetrics and Gynaecology. 200pregnant women with singleton pregnancy who delivered after 28 weeks of gestation during 1 year period, whowere diagnosed and documented as having umbilical cord abnormalities either antenatally or during and afterdelivery were included in the study after taking informed and written consent.Results: The age of majority of patients was in the range of 21-28 years as this group is most fertile. Primigravidacomprised of 40% whereas 60% were multigravida. 65% patients had normal vaginal delivery whereas 35%patients required Caesarean section. Of all the abnormalities of umbilical cord, the most common abnormalityencountered is Nuchal cord (cord around the neck) with 70% cases in our study. Abnormal cord length i.e. Long(>100cm) and short (7 at 1 and 5 minutes. 71%fetus had live birth without any complication and did not require NICU admission. 20% required NICU admission.4% had early neonatal death, 2% late neonatal death whereas 3% was still birth.Conclusion: Umbilical cord abnormalities are a stress factor for fetus, where stillbirth can occur due tocombination of risk factors. This is especially important because most of these still births occur relatively late inpregnancy in a setting of otherwise normal foetuses and pregnancies. Therefore, early detection and continuedsurveillance will help to prevent such sudden fetal loss.

AbstractAim: The aim of the present study was to assess the impact of umbilical cord abnormalities on neonatal outcome.Material & Methods: A retrospective study was conducted in Department of Obstetrics and Gynaecology. 200pregnant women with singleton pregnancy who delivered after 28 weeks of gestation during 1 year period, whowere diagnosed and documented as having umbilical cord abnormalities either antenatally or during and afterdelivery were included in the study after taking informed and written consent.Results: The age of majority of patients was in the range of 21-28 years as this group is most fertile. Primigravidacomprised of 40% whereas 60% were multigravida. 65% patients had normal vaginal delivery whereas 35%patients required Caesarean section. Of all the abnormalities of umbilical cord, the most common abnormalityencountered is Nuchal cord (cord around the neck) with 70% cases in our study. Abnormal cord length i.e. Long(>100cm) and short (7 at 1 and 5 minutes. 71%fetus had live birth without any complication and did not require NICU admission. 20% required NICU admission.4% had early neonatal death, 2% late neonatal death whereas 3% was still birth.Conclusion: Umbilical cord abnormalities are a stress factor for fetus, where stillbirth can occur due tocombination of risk factors. This is especially important because most of these still births occur relatively late inpregnancy in a setting of otherwise normal foetuses and pregnancies. Therefore, early detection and continuedsurveillance will help to prevent such sudden fetal loss.