Abstract

Research Article

Curettage is a risk factor for marginal umbilical cord insertion

Elie Nkwabong*, Simon Junior Mabol Mbeleck and Florence Tumasang

Published: 02 July, 2020 | Volume 3 - Issue 2 | Pages: 081-084

Objective: To identify the risk factors for marginal cord insertion (MCI).

Material and Methods: This case-control study was carried out between 1st February and 30th June 2019. Singletons with and without MCI at delivery were recruited. Main variables analyzed included maternal age, parity, number of previous dilatation and curettage (D&C) or manual vacuum aspiration (MVA), time interval between each procedure and conception, cord insertion. Fisher’s exact test, t-test and logistic regression were used to compare data from both groups.

Results: We found 60 cases of MCI (4.1%). The significant (p < 0.05) risk factors for MCI were past-history of D&C (aOR 5.97, 95% CI 1.95-18.25) particularly when conception occurred ˂ 5 months after D&C (OR 10.5, 95% CI 1.36-81.05), fetal female sex (aOR 3.82, 95% CI 1.41-10.32), parity ≥ 4 (aOR 2.63, 95% CI 1.05-12.71) and past-history of MVA (aOR 2.06, 95% CI 1.23-8.76).

Conclusion: Women should be advised to conceive at least five months after D&C.

Read Full Article HTML DOI: 10.29328/journal.cjog.1001054 Cite this Article Read Full Article PDF

Keywords:

Marginal umbilical cord insertion; Risk factors; Dilatation and curettage; Fetal female sex; Manual vacuum aspiration

References

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