Dr Tahreem Zahid, Dr Zainab Taseer, Dr Tooba Batool
Background: To compare peri-natal outcome with mode of delivery in patients without Nuchal cord and those with Nuchal cords including single, double and multiple loops. Study Design: This was a Retrospective study Place and Duration of Study: This study was conducted at the Gynecology Department of Mayo Hospital Lahore from January 2020 to June 2020. Materials and Methods: This was a retrospective study of 303 single gestation term pregnancies with spontaneous labor. Patients were grouped as without Nuchal cord and those with Nuchal cord including single, double and multiple turns. These were compared with perinatal outcome and delivery mode. Results: This study showed that Nuchal cord was not associated with neonatal death, a bad Apgar score (<7) at 1 and 5 min. However, cases with multiple cords were shown to be associated with meconium-stained liquor, neonatal admission in Intensive care, fetal distress and emergency C-section. Conclusion: Nuchal cord with multiple turns was associated with fetal distress but without affecting Apgar scores. Nuchal cord was not associated with adverse outcomes and prenatal ultrasound for this purpose is not required. Key Words: Nuchal cord, Perinatal outcome, Multiple loops, Apgar scores.