STUDY OF UMBILICAL CORD IN PREGNANCY INDUCED HYPERTENSION

Abstract

Introduction: Fetal outcome is already compromised in pregnancy induced hypertension (PIH) and it is adversely affected by abnormality in umbilical cord, so purpose of this study to early diagnosis of latter would give an insight into the former.

Methodology: The study on umbilical cord insertion in pregnancy induced hypertension (PIH) was carried out by dissection method in Government Medical College Surat. The attachment of umbilical cord on placenta was examined after careful dissection of membranes in 75 cases of PIH and 25 cases of normotensive pregnancy.

Results: It was noted that Eccentric insertion of umbilical cord is the commonest type of insertion in PIH group (70.67%). Next common type of insertion is Central insertion 12% in PIH group. Marginal insertion is found in 14.67% cases in PIH group. No case of Velamentous (Membranous) insertion is found in normotensive while 2.66% cases are found in PIH. Whereas PIH group shows both dispersal and magistral type of distribution, in mild PIH 95% placenta shows dispersal type and 5% shows magistral type distribution, but in severe PIH 91.43% placenta show dispersal type and 8.57% placenta show magistral type of distribution.