Objective: Determine the association between electronic fetal monitoring and neonatal outcomes in the setting of a true knot at delivery.
Study Design: This was a planned secondary analysis of a prospective cohort of 8580 women. Patients with and without a true knot were compared and the primary outcome was repetitive late decelerations occurring with at least 50% of contractions. Confounders were adjusted for using logistic regression.
Results: A total of 8580 patients met inclusion criteria and 49 (0.57%) had a TK. There was no significant difference in the rate of repetitive late decelerations in patients with TK (aOR 1.04; 95% confidence interval [CI] 0.25-4.40),other electronic fetal monitoring parameters, or neonatal outcomes.
Conclusion: Neonates with true knots who are delivered at term have similar electronic fetal monitoring characteristics compared to those without true knots and no detectable difference in neonatal morbidity; thus, calling into question the clinical significance of a true knot at term.
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| http://dx.doi.org/10.1038/s41372-018-0250-4 | DOI Listing |
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Article Synopsis
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- Although ultrasonographers may overlook the cord during routine obstetric ultrasounds, improved technology allows for better fetal assessments, making it essential to evaluate the umbilical cord more carefully.
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