We compared parameters for women who delivered by CS after an ultrasound diagnosis of nuchal cord (48 cases) with those in whom nuchal cord was diagnosed in the course of a vaginal delivery (344 cases).
The total number of nuchal cord loops recorded in partograms was 488 (27%), of which 83% were simple loops, 13.
The ages of patients with nuchal cord loops ranged from 17 to 44 years; 88% were between 21 and 34 years old, and 78% were primiparas or secundiparas.
To our knowledge, this is the first study which has tried to find a correlation between method of delivery and obstetric results in cases with only nuchal cord association.
A few studies suggest that outcomes following dystocia, even in the case of nuchal cord, depend on whether the cord is clamped and divided.
Stallings and his associates, therefore, advise "caution regarding the clamping and cutting of the nuchal cord prior to the initiation of maneuvers.