Direction of Umbilical Cord Twist and its Characteristics – a Pilot Study

  • Althea V. Pinto St. John’s Medical College, St. John's National Academy of Health Sciences, Bangalore, India
  • Alex X. Chakiath St. John’s Medical College, St. John's National Academy of Health Sciences, Bangalore, India
  • Prudhvi Dasari St. John’s Medical College, St. John's National Academy of Health Sciences, Bangalore, India
  • Vilekith Reddy St. John’s Medical College, St. John's National Academy of Health Sciences, Bangalore, India
  • Shirley George St. John’s Medical College, St. John's National Academy of Health Sciences, Bangalore, India
  • Nachiket Shankar St. John’s Medical College, St. John's National Academy of Health Sciences, Bangalore, India
Keywords: Diabetes Gestational, Umbilical Cord, Embryonic Structures

Abstract

Background: A right-sided umbilical cord twist is associated with the presence of a single umbilical artery, congenital malformations and placenta praevia.

Methods: It was an observational study. Data was collected from 137 umbilical cords, all from live births and their patient records. The gestational ages ranged from 28 weeks to 41 weeks. The umbilical cords were categorized into right or left, based on the direction of twist. The independent sample T test and the Chi square test were used to analyze the differences between groups.

Results: The prevalence of left twist was 84%. Right twist was significantly associated with a larger Hyrtl’s anastomosis (p=0.029) and gestational diabetes (p=0.027).

Conclusion: Two previously unreported associations with right twist of the umbilical cord, gestational diabetes and an increase in the diameter of Hyrtl’s anastomosis, were noted in the present study.

Author Biography

Nachiket Shankar, St. John’s Medical College, St. John's National Academy of Health Sciences, Bangalore, India

Althea Valeen Pinto is currently doing her internship at St. John’s Medical College Hospital, Bangalore, India.

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Published
2013-12-31
How to Cite
Pinto, A. V., Chakiath, A. X., Dasari, P., Reddy, V., George, S., & Shankar, N. (2013). Direction of Umbilical Cord Twist and its Characteristics – a Pilot Study. International Journal of Medical Students, 1(3), 120-122. https://doi.org/10.5195/ijms.2013.218
Section
Short Communication