Case control study of mato-fetal outcome in cases of nuchal cord

Introduction: Nuchal cord is associated with higher perinatal morbidity and mortality due to variable fetal heart rate during labour.
Objectives: To study the mode of delivery and perinatal outcome in cases of nuchal cord.
Methods: This is a prospective study of 308 cases. Out of them 154 cases were diagnosed as a nuchal cord in ultrasonography, mode of delivery, and perinatal outcome was observed.
Results: In case group, vaginal delivery, caesarean section and forceps delivery were 56.49%, 42.86%, 0.65% respectively.
• In cases of nuchal cord, the major indication of LSCS was fetal distress 16.23%
• NICU admission in case group and control group were 46.10% and 11.68% respectively.
• Total perinatal deaths in case group were 13(8.44%)
Conclusion: Nuchal cord is not an indication of caesarean section but close monitoring during labour is required for better perinatal outcome.