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Completed

NCT Number: NCT03604887

Umbilical Cord Length Index for Prediction of Cord Abnormalities Before Delivery

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

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Key information

Conditions

Umbilical Cord Problem

Sex eligibility

Female

Study type

Observational

Primary location

Assiut Faculty of Medicine

Asyut, Egypt

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

ultrasonography

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.

Primary outcomes

  1. The sensitivity of "Umbilical cord length index" in diagnosis of long and short umbilical cords.

    Time frame: 15 minutes

    Ultrasonographic scoring of umbilical cord length

Sponsors and collaborators

Lead sponsor

Assiut University

Other

Registry information

Official study title

Umbilical Cord Length Index as a New Ultrasonographic Method for Prediction of Cord Abnormalities Before Delivery

Important dates

Study start
2019
Primary completion
2020
Study completion
2021
First posted
Jul 30, 2018
Registry last updated
Apr 23, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.