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Anatomical pathology of the umbilical cord and its maternal and fetal clinical associations in 434 newborns

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dc.contributor.authorOlaya Contreras, Mercedes
dc.contributor.authorGil, Jacky
dc.contributor.authorSalcedo, Juan D.
dc.contributor.authorSalazar Vargas, Ana Janeth
dc.contributor.authorSilva Herrera, Jaime Luis
dc.contributor.authorBernal, Jaime E.
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Patología
dc.date.accessioned2020-05-15T19:00:20Z
dc.date.available2020-05-15T19:00:20Z
dc.date.created2018
dc.description.abstractenglishIntroduction: Umbilical cord (UC) abnormalities and their clinical relations in 434 newborns were analyzed. We had previously reported on clinical associations of long and short UCs with any kind of malformation. This study focuses on other UC features (insertion, vessels, entanglements, coiling, and knots) and their associations with clinical characteristics and neonatal prognosis. Methods: An observational analytic study was performed on placentas from consecutive deliveries. Ordered logistic regression with bivariate and multivariate analysis was performed to evaluate the relationship between variables of interest concerning UC abnormalities. Results: A total of 434 placentas made up the study. UC abnormalities were abnormal insertion, 82 (18.86%); coiling (hypo and hypercoiled), 177 (40.78%); single umbilical artery (SUA), 4 (0.92%); entanglements, 8 (1.84%); true knots, 3 (0.69%); webs in UC base, 9 (2.07%); and right twist, 68 (15.67%). After analyzing maternal and fetal complications during pregnancy, multivariate analysis confirmed the recognized association between malformations and SUA and male gender; further confirmation was also made between hypertensive disorders of pregnancy and true knots. Discussion: UC abnormalities associated with undesirable outcomes are varied and should be recognized and described. Clinical factors associated with anatomical UC abnormalities are not completely understood and justify forthcoming studies.spa
dc.description.paginas467-474spa
dc.description.quartilescopusQ3spa
dc.description.quartilewosQ4spa
dc.formatPDFspa
dc.format.mimetypeapplication/pdfspa
dc.format.soportePapel / Electrónicospa
dc.identifierhttps://journals.sagepub.com/doi/pdf/10.1177/1093526618758204spa
dc.identifier.doihttps://doi.org/10.1177/1093526618758204spa
dc.identifier.issn1093-5266 / 1615-5742 (Electrónico)spa
dc.identifier.urihttp://hdl.handle.net/10554/49277
dc.languagespaspa
dc.rights.licenceAtribución-NoComercial 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.sourcePediatric and Developmental Pathology; Vol. 21 Núm. 5 (2018)spa
dc.subject.keywordUmbilical cordspa
dc.subject.keywordCord accidentspa
dc.subject.keywordCoiling indexspa
dc.subject.keywordSingle umbilical arteryspa
dc.titleAnatomical pathology of the umbilical cord and its maternal and fetal clinical associations in 434 newbornsspa
dc.typeinfo:eu-repo/semantics/article
dc.type.hasversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.localArtículo de revistaspa

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