TY - JOUR
T1 - Electronic Fetal Monitoring and Neonatal Outcomes when a Nuchal Cord Is Present at Delivery
AU - Carter, Ebony B.
AU - Chu, Cheryl S.
AU - Thompson, Zach
AU - Tuuli, Methodius G.
AU - Macones, George
AU - Cahill, Alison
PY - 2020/3/1
Y1 - 2020/3/1
N2 - Objective This study aimed to determine the association between nuchal cord, electronic fetal monitoring parameters, and adverse neonatal outcomes. Study Design This was a prospective cohort study of 8,580 singleton pregnancies. Electronic fetal monitoring was interpreted, and patients with a nuchal cord at delivery were compared with those without. The primary outcome was a composite neonatal morbidity index. Logistic regression was used to adjust for confounders. Result Of 8,580 patients, 2,071 (24.14%) had a nuchal cord. There was no difference in the risk of neonatal composite morbidity in patients with or without a nuchal cord (8.69 vs. 8.86%; p = 0.81). Nuchal cord was associated with category II fetal heart tracing and operative vaginal delivery (OVD) (6.4 vs. 4.3%; p < 0.01). Conclusion Nuchal cord is associated with category II electronic fetal monitoring parameters, which may drive increased rates of OVD. However, there is no significant association with neonatal morbidity.
AB - Objective This study aimed to determine the association between nuchal cord, electronic fetal monitoring parameters, and adverse neonatal outcomes. Study Design This was a prospective cohort study of 8,580 singleton pregnancies. Electronic fetal monitoring was interpreted, and patients with a nuchal cord at delivery were compared with those without. The primary outcome was a composite neonatal morbidity index. Logistic regression was used to adjust for confounders. Result Of 8,580 patients, 2,071 (24.14%) had a nuchal cord. There was no difference in the risk of neonatal composite morbidity in patients with or without a nuchal cord (8.69 vs. 8.86%; p = 0.81). Nuchal cord was associated with category II fetal heart tracing and operative vaginal delivery (OVD) (6.4 vs. 4.3%; p < 0.01). Conclusion Nuchal cord is associated with category II electronic fetal monitoring parameters, which may drive increased rates of OVD. However, there is no significant association with neonatal morbidity.
KW - electronic fetal monitoring
KW - fetal heart rate
KW - neonatal morbidity
KW - nuchal cord
UR - http://www.scopus.com/inward/record.url?scp=85081357080&partnerID=8YFLogxK
U2 - 10.1055/s-0039-1679866
DO - 10.1055/s-0039-1679866
M3 - Article
C2 - 30818403
AN - SCOPUS:85081357080
VL - 37
SP - 378
EP - 383
JO - American Journal of Perinatology
JF - American Journal of Perinatology
SN - 0735-1631
IS - 4
ER -