153808

Diagnostic Utility of Color Doppler Ultrasound for Nuchal CordDetection at Term: A Prospective Study

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Last updated: 01 Jan 2025

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Abstract

AbstractBackground: Nuchal cords are very common, with prev-alence rates ranging from 18% to 25%. Color Doppler sonog-raphy is a noninvasive method that can be used for nuchalcord diagnosis.Aim of Study: In this study, we investigated the diagnosticaccuracy of color Doppler ultrasound (US) in the detectionof nuchal cord among full term pregnant women.Material and Methods: We conducted a prospective studyon 250 full term pregnant women, who were examined bytwo-dimensional US and color Doppler US to detect nuchalcord presence. Only women with cephalic presentation andsonographicaly detected nuchal cord were included.Results: The mean age of studied group was 26.86±5.53years and the mean parity was 1.59±1.21. The mean gestational age was 38.24±1.218 weeks and the estimated fetal weight was 3.236±0.378Kg. Overall, the two-dimensional US detected 64% of the nuchal cord loops; while the color Doppler US detected 100% of the loops. Besides, the frequency of loops of cord around the neck detected after delivery was 94%; which was one loop in 83% of the cases. Accuracy of 2D US in detecting cord around the neck was 61.2%, while that of color Doppler is 94%.Conclusions: In conclusion, the accuracy of detecting thenuchal cord is more with color Doppler US than two-dimensional US.

DOI

10.21608/mjcu.2021.153808

Keywords

Nuchal cord, 2D US, Color Doppler, Cordaround fetal neck

Authors

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GAMAL A. IBRAHIM, M.D.;

Last Name

MOSTAFA A. SAFWAT, M.Sc.

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SHERINE H.M.

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GADALLA, M.D.

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Affiliation

The Department of Obstetrics & Gynecology, Faculty of Medicine, Cairo University

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Volume

89

Article Issue

March

Related Issue

22429

Issue Date

2021-03-01

Receive Date

2020-12-05

Publish Date

2021-03-01

Page Start

279

Page End

283

Print ISSN

0045-3803

Online ISSN

2536-9806

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https://mjcu.journals.ekb.eg/article_153808.html

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https://mjcu.journals.ekb.eg/service?article_code=153808

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35

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Journal

Publication Title

The Medical Journal of Cairo University

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https://mjcu.journals.ekb.eg/

MainTitle

Diagnostic Utility of Color Doppler Ultrasound for Nuchal CordDetection at Term: A Prospective Study

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Article

Created At

22 Jan 2023