A STUDY OF CORRELATION BETWEEN UMBILICAL CORD DIAMETER & FETAL BIRTH WEIGHT

Abstract

AIM: This study investigated the relationship between umbilical cord diameter (UCD) measurements and neonatal birth weight outcomes in Indian neonates. The aim was to elucidate the potential correlation between UCD and neonatal weight, providing insights into predicting birth weight during delivery. Conducted at Padmashree Dr.D.Y.Patil Medical College, Hospital and Research Centre ,Pune, the study involved a sample of all single neonates born to both primigravida and multigravida mothers.

Materials and Methods: The study included 100 neonates (42 primigravida, 58 multigravida) born through vaginal delivery & cesarean section, excluding stillbirths, and neonates with abnormal health conditions. UCD measurements were taken immediately after birth from five different points along the cord length, and neonatal weights were measured using an electronic baby weighing scale.

Objectives: The primary objective was to assess the correlation between UCD and neonatal birth weight in Indian neonates. The study aimed to identify potential associations between UCD and birth weight, considering factors such as gravidity and gender distribution.

Results: The significant correlation (p < 0.05) between UCD and neonatal birth weight was noted. Larger cord diameters were associated with higher birth weights. Gender distribution showed more males had larger cord diameters and neonatal weights compared to female neonates. The study indicates that for every 1mm increase in cord diameter, there is a corresponding 217-gram increase in birth weight (1 = 217). Therefore, measuring the cord diameter at birth can be utilized to estimate neonatal weight. The conclusion drawn is that neonatal weight can be determined in the delivery room by measuring cord diameters in millimeters, followed by multiplying the cord measurement in millimeters by 217 to obtain the weight in grams.

Conclusion: In conclusion, the study demonstrated a meaningful association between UCD and neonatal birth weight, emphasizing the potential use of UCD measurement as a predictor for neonatal weight during delivery. These findings contribute valuable insights into understanding fetal growth patterns and could aid in refining strategies for neonatal care. Further research in this area may enhance our ability to predict neonatal outcomes and implement targeted interventions.