Correlation between Umbilical Cord Length, Birth Weight and Length of Singleton Deliveries at Term in the Federal Medical Centre, Owo, Ondo State, Nigeria

  • Olumuyiwa A Ogunlaja Department of Obstetrics & Gynaecology, Bowen University Teaching Hospital, Ogbomoso, Nigeria.
  • Idowu P Ogunlaja Department of Obstetrics & Gynaecology, Federal Medical Centre, Owo, Nigeria.
  • Ajibola Idowu Department of Community Medicine, Bowen University Teaching Hospital, Ogbomoso, Nigeria.
Keywords: Umbilical cord length, Birth weight, Birth length

Abstract

Background: The umbilical cord and placenta have been considered to significantly contribute to the perinatal outcome. However, in our environment attempt at exploring its use has been limited due to sociocultural believes. This study aimed to identify the relationship between the umbilical cord length, newborn length and weight.

Materials and Methods: The study population consisted of three hundred and five pregnant women who consented to participate in the study and had live singleton fetuses at term.

Results: The average birth weight was 3.23 ± 0.50 kilograms and the average baby’s length was 49.75 ± 2.40 centimeters. The average umbilical cord length was 51.50 ± SD 6.67 centimeters’. There was a positive correlation between umbilical cord length and the length of the baby (r = 0.130, p = 0.024); likewise the umbilical cord length and the weight of the baby at birth (r=0.145, p=0.011). A positive statistical relationship was found between the birth weight and the birth length of the babies (r=0.498, p<0.001).

Conclusion: The umbilical cord length contributes significantly to determining the newborn weight and length.Health education on the relevance of proper examination of the placenta and umbilical cord by the health care givers should be instituted.

References

1. Valsamakis G, Kanaka-Gantenbein C, Malamitsi-Puchner A and Mastorakos G. Causes of intrauterine growth restriction and postnatal development of the metabolic syndrome. Ann N Y AcadSci 2006; 1092: 138-147 .
2. Yetter JF. Examination of the Placenta. Am Academy Fam Physician 1998; 57(5):1045-1054
3. Berg TG, Rayburn WF. Umbilical Cord Length and Acid- Base Balance at Delivery. J Reprod Med 1995; 40: 9-12.75
4. Benirschke K. The Umbilical Cord. NeoReviews. 2004; 5(4):34
5. Van den Broek N, Ntonya C, Kayira E, White S, Neilson J P. Preterm birth in rural Malawi: high incidence in ultrasound-dated population. Hum Reprod 2005; 20: 3235-3237
6. Baergen RN, Malicki D, Behling C, Benirschke K. Morbidity, mortality and placental pathology in excessively long umbilical cords: retrospective study. PaediatrDevPathol 2001; 4(2):144-153
7. Krakowiak P, Smith EN, de Bruyn G, Lydon- Rochelle MT. Risk factors and outcomes associated with a short umbilical cord. ObstetGynaecol 2004; 103: 1119-1127
8. Muppala H, Martinez JM, Comas C, Antolin E, Borrell A, Puerto B, Casals E, Mallofre MC, Bedoya-Ronga A, Martindale E. Abnormally long Umbilical Cord with marked Spiraling and True knots: A Case Report. The Internet J GynaecolObstet 2007;7:2
9. Wu JF, Chang SY, Hsu TY, Kung FT, Chan TC, Hsieh CH. Multivariate analyses of the relationship between umbilical cord length and obstetric outcome. Changgeng Yi XueZaZhi 1996; 19(3):247-252
10. Mutihir JT. Annals Of African Medicine, 2006.Vol 5, No.4 pp 192-196
11. Gupta S, Faridi MMA, Krishnan J. Umbilical Coiling Index. J ObstetGynaecol India 2006; 56(4):315-319 12. Adinma JI. The umbilical cord: a study of 1,000 consecutive deliveries. Int J Fertil Menopausal Stud 1993;38(3):175-179.
13. Agboola A. Correlates of human umbilical cord length. Int J GynaecolObstet 1978;16(3):238-239.
Published
2021-08-19
Section
Original Articles