Umbilical Cord Length Index for Prediction of Cord Abnormalities Before Delivery

NCT ID: NCT03604887

Last Updated: 2021-04-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-03-01

Study Completion Date

2021-01-31

Brief Summary

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The umbilical cord plays an essential role in intrauterine life. It is the pathway between mother, placenta and fetus during pregnancy and delivery. Complete cord occlusion often leads to fetal demise, while intermittent occlusion has been associated with intrauterine brain damage. Compression and vasospasm in utero are important factors in fetal distress. Nuchal Umbilical Cord can be diagnosed antepartum using ultrasound, but the complications are unpredictable and unpreventable

Detailed Description

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Conditions

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Umbilical Cord Problem

Study Design

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Observational Model Type

OTHER

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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study group

All pregnant women who will attend the labor unit during the study period will be invited to participate in the study.

ultrasonography

Intervention Type DIAGNOSTIC_TEST

Ultrasound evaluation will be done with transducer abdominal probe. The amount of amniotic fluid and umbilical cord sections will be determined by evaluating the images obtained from the sagittal plane in the ultrasound evaluations in the 4 abdominal quadrants.

When the anatomical structure of the umbilical cord is considered, it is folded in amniotic fluid. The folds appear as umbilical cord rings, side-by-side at the sagittal sections.

Scoring of "umbilical cord length index"

* 1 point will be given for each quadrant where the umbilical cord was observed.
* 0.5 point will be given for each umbilical cord ring in one quadrant. Every quadrant will be evaluated in this manner, and the total score will be calculated.

Interventions

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ultrasonography

Ultrasound evaluation will be done with transducer abdominal probe. The amount of amniotic fluid and umbilical cord sections will be determined by evaluating the images obtained from the sagittal plane in the ultrasound evaluations in the 4 abdominal quadrants.

When the anatomical structure of the umbilical cord is considered, it is folded in amniotic fluid. The folds appear as umbilical cord rings, side-by-side at the sagittal sections.

Scoring of "umbilical cord length index"

* 1 point will be given for each quadrant where the umbilical cord was observed.
* 0.5 point will be given for each umbilical cord ring in one quadrant. Every quadrant will be evaluated in this manner, and the total score will be calculated.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Singleton pregnancy.
* Pregnant ≥ 37 weeks gestation.
* Women who will accept to participate in the study

Exclusion Criteria

* Preterm deliveries.
* Amniotic fluid abnormalities (oligohydramnios, polyhydramnios).
* Intrauterine growth retardation
* Early membrane rupture
* Women need urgent cesarean section.
* Multifetal gestation.
* Placenta previa.
* Fetuses with major congenital anomalies.
* Women with chronic maternal illness as hypertension
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Ahmed Mohamed Abbas

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Assiut Faculty of Medicine

Asyut, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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UCLI

Identifier Type: -

Identifier Source: org_study_id

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