Anatomical Pathology of the Umbilical Cord and Its Maternal and Fetal Clinical Associations in 434 Newborns
Introduction: Umbilical cord (UC) abnormalities and their clinical relations in 434 newborns were analyzed. We had previously reported on clinical associations of long and short UCs with any kind of malformation. This study focuses on other UC features (insertion, vessels, entanglements, coiling, an...
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2018
- Institución:
- Universidad Tecnológica de Bolívar
- Repositorio:
- Repositorio Institucional UTB
- Idioma:
- eng
- OAI Identifier:
- oai:repositorio.utb.edu.co:20.500.12585/8870
- Acceso en línea:
- https://hdl.handle.net/20.500.12585/8870
- Palabra clave:
- Coiling index
Cord accident
Placenta
Single umbilical artery
Stillbirth
Umbilical cord
Ubiquitin
Antemortem skin biopsy
Archicortex
Article
Aspiration pneumonia
Autopsy
Brain ventricle dilatation
Bronchiolitis
Case report
Caudate nucleus
Cause of death
Cell loss
Central nervous system
Cerebellum atrophy
Child
Clarke column
Clinical article
Convulsion
Copy number variation
Corpus striatum
Cortical gliosis
Degenerative disease
Dentate nucleus
Developmental disorder
Dyskinesia
Electron microscopy
Female
Fever
Gray matter
Hereditary motor sensory neuropathy
Histology
Hospital admission
Human
Human cell
Human tissue
Microarray analysis
Muscle atrophy
Muscle biopsy
Neocortex
Nuronal intranuclear inclusion disease
Nuclear magnetic resonance imaging
Pathogenesis
Pathology
Preschool child
Priority journal
Purkinje cell
Recurrent disease
Seizure
Skin biopsy
Substantia nigra
Walking difficulty
Adolescent
Adult
Male
Newborn
Pathology
Placenta
Pregnancy
Stillbirth
Umbilical cord
Young Adult
Adolescent
Adult
Female
Humans
Infant, Newborn
Male
Placenta
Pregnancy
Stillbirth
Umbilical Cord
Young Adult
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Anatomical Pathology of the Umbilical Cord and Its Maternal and Fetal Clinical Associations in 434 Newborns |
| title |
Anatomical Pathology of the Umbilical Cord and Its Maternal and Fetal Clinical Associations in 434 Newborns |
| spellingShingle |
Anatomical Pathology of the Umbilical Cord and Its Maternal and Fetal Clinical Associations in 434 Newborns Coiling index Cord accident Placenta Single umbilical artery Stillbirth Umbilical cord Ubiquitin Antemortem skin biopsy Archicortex Article Aspiration pneumonia Autopsy Brain ventricle dilatation Bronchiolitis Case report Caudate nucleus Cause of death Cell loss Central nervous system Cerebellum atrophy Child Clarke column Clinical article Convulsion Copy number variation Corpus striatum Cortical gliosis Degenerative disease Dentate nucleus Developmental disorder Dyskinesia Electron microscopy Female Fever Gray matter Hereditary motor sensory neuropathy Histology Hospital admission Human Human cell Human tissue Microarray analysis Muscle atrophy Muscle biopsy Neocortex Nuronal intranuclear inclusion disease Nuclear magnetic resonance imaging Pathogenesis Pathology Preschool child Priority journal Purkinje cell Recurrent disease Seizure Skin biopsy Substantia nigra Walking difficulty Adolescent Adult Male Newborn Pathology Placenta Pregnancy Stillbirth Umbilical cord Young Adult Adolescent Adult Female Humans Infant, Newborn Male Placenta Pregnancy Stillbirth Umbilical Cord Young Adult |
| title_short |
Anatomical Pathology of the Umbilical Cord and Its Maternal and Fetal Clinical Associations in 434 Newborns |
| title_full |
Anatomical Pathology of the Umbilical Cord and Its Maternal and Fetal Clinical Associations in 434 Newborns |
| title_fullStr |
Anatomical Pathology of the Umbilical Cord and Its Maternal and Fetal Clinical Associations in 434 Newborns |
| title_full_unstemmed |
Anatomical Pathology of the Umbilical Cord and Its Maternal and Fetal Clinical Associations in 434 Newborns |
| title_sort |
Anatomical Pathology of the Umbilical Cord and Its Maternal and Fetal Clinical Associations in 434 Newborns |
| dc.subject.keywords.none.fl_str_mv |
Coiling index Cord accident Placenta Single umbilical artery Stillbirth Umbilical cord Ubiquitin Antemortem skin biopsy Archicortex Article Aspiration pneumonia Autopsy Brain ventricle dilatation Bronchiolitis Case report Caudate nucleus Cause of death Cell loss Central nervous system Cerebellum atrophy Child Clarke column Clinical article Convulsion Copy number variation Corpus striatum Cortical gliosis Degenerative disease Dentate nucleus Developmental disorder Dyskinesia Electron microscopy Female Fever Gray matter Hereditary motor sensory neuropathy Histology Hospital admission Human Human cell Human tissue Microarray analysis Muscle atrophy Muscle biopsy Neocortex Nuronal intranuclear inclusion disease Nuclear magnetic resonance imaging Pathogenesis Pathology Preschool child Priority journal Purkinje cell Recurrent disease Seizure Skin biopsy Substantia nigra Walking difficulty Adolescent Adult Male Newborn Pathology Placenta Pregnancy Stillbirth Umbilical cord Young Adult Adolescent Adult Female Humans Infant, Newborn Male Placenta Pregnancy Stillbirth Umbilical Cord Young Adult |
| topic |
Coiling index Cord accident Placenta Single umbilical artery Stillbirth Umbilical cord Ubiquitin Antemortem skin biopsy Archicortex Article Aspiration pneumonia Autopsy Brain ventricle dilatation Bronchiolitis Case report Caudate nucleus Cause of death Cell loss Central nervous system Cerebellum atrophy Child Clarke column Clinical article Convulsion Copy number variation Corpus striatum Cortical gliosis Degenerative disease Dentate nucleus Developmental disorder Dyskinesia Electron microscopy Female Fever Gray matter Hereditary motor sensory neuropathy Histology Hospital admission Human Human cell Human tissue Microarray analysis Muscle atrophy Muscle biopsy Neocortex Nuronal intranuclear inclusion disease Nuclear magnetic resonance imaging Pathogenesis Pathology Preschool child Priority journal Purkinje cell Recurrent disease Seizure Skin biopsy Substantia nigra Walking difficulty Adolescent Adult Male Newborn Pathology Placenta Pregnancy Stillbirth Umbilical cord Young Adult Adolescent Adult Female Humans Infant, Newborn Male Placenta Pregnancy Stillbirth Umbilical Cord Young Adult |
| description |
Introduction: Umbilical cord (UC) abnormalities and their clinical relations in 434 newborns were analyzed. We had previously reported on clinical associations of long and short UCs with any kind of malformation. This study focuses on other UC features (insertion, vessels, entanglements, coiling, and knots) and their associations with clinical characteristics and neonatal prognosis. Methods: An observational analytic study was performed on placentas from consecutive deliveries. Ordered logistic regression with bivariate and multivariate analysis was performed to evaluate the relationship between variables of interest concerning UC abnormalities. Results: A total of 434 placentas made up the study. UC abnormalities were abnormal insertion, 82 (18.86%); coiling (hypo and hypercoiled), 177 (40.78%); single umbilical artery (SUA), 4 (0.92%); entanglements, 8 (1.84%); true knots, 3 (0.69%); webs in UC base, 9 (2.07%); and right twist, 68 (15.67%). After analyzing maternal and fetal complications during pregnancy, multivariate analysis confirmed the recognized association between malformations and SUA and male gender; further confirmation was also made between hypertensive disorders of pregnancy and true knots. Discussion: UC abnormalities associated with undesirable outcomes are varied and should be recognized and described. Clinical factors associated with anatomical UC abnormalities are not completely understood and justify forthcoming studies. © 2018, Society for Pediatric Pathology All rights reserved. |
| publishDate |
2018 |
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2018 |
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2020-03-26T16:32:32Z |
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2020-03-26T16:32:32Z |
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http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
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Artículo |
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Pediatric and Developmental Pathology; Vol. 21, Núm. 5; pp. 467-474 |
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10935266 |
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https://hdl.handle.net/20.500.12585/8870 |
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10.1177/1093526618758204 |
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Universidad Tecnológica de Bolívar |
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Repositorio UTB |
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56461296300 13007407800 57200695532 57200700975 7403023453 53871077300 |
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Pediatric and Developmental Pathology; Vol. 21, Núm. 5; pp. 467-474 10935266 10.1177/1093526618758204 Universidad Tecnológica de Bolívar Repositorio UTB 56461296300 13007407800 57200695532 57200700975 7403023453 53871077300 |
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https://hdl.handle.net/20.500.12585/8870 |
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eng |
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SAGE Publications Ltd |
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SAGE Publications Ltd |
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2020-03-26T16:32:32Z2020-03-26T16:32:32Z2018Pediatric and Developmental Pathology; Vol. 21, Núm. 5; pp. 467-47410935266https://hdl.handle.net/20.500.12585/887010.1177/1093526618758204Universidad Tecnológica de BolívarRepositorio UTB56461296300130074078005720069553257200700975740302345353871077300Introduction: Umbilical cord (UC) abnormalities and their clinical relations in 434 newborns were analyzed. We had previously reported on clinical associations of long and short UCs with any kind of malformation. This study focuses on other UC features (insertion, vessels, entanglements, coiling, and knots) and their associations with clinical characteristics and neonatal prognosis. Methods: An observational analytic study was performed on placentas from consecutive deliveries. Ordered logistic regression with bivariate and multivariate analysis was performed to evaluate the relationship between variables of interest concerning UC abnormalities. Results: A total of 434 placentas made up the study. UC abnormalities were abnormal insertion, 82 (18.86%); coiling (hypo and hypercoiled), 177 (40.78%); single umbilical artery (SUA), 4 (0.92%); entanglements, 8 (1.84%); true knots, 3 (0.69%); webs in UC base, 9 (2.07%); and right twist, 68 (15.67%). After analyzing maternal and fetal complications during pregnancy, multivariate analysis confirmed the recognized association between malformations and SUA and male gender; further confirmation was also made between hypertensive disorders of pregnancy and true knots. Discussion: UC abnormalities associated with undesirable outcomes are varied and should be recognized and described. Clinical factors associated with anatomical UC abnormalities are not completely understood and justify forthcoming studies. © 2018, Society for Pediatric Pathology All rights reserved.Pontificia Universidad Javerianaubiquitin, 60267-61-0The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study makes up part of the research project entitled, ‘‘Factors that determine umbilical cord length,’’ (ID PPTA 00005140) financed by the Pontificia Universidad Javeriana and its Hospital Universitario San Ignacio, Bogota, Colombia.Recurso electrónicoapplication/pdfengSAGE Publications Ltdhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/restrictedAccessAtribución-NoComercial 4.0 Internacionalhttp://purl.org/coar/access_right/c_16echttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85042210996&doi=10.1177%2f1093526618758204&partnerID=40&md5=989e3b087ecfc96b444b0f1f44f5fabeAnatomical Pathology of the Umbilical Cord and Its Maternal and Fetal Clinical Associations in 434 Newbornsinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtículohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_2df8fbb1Coiling indexCord accidentPlacentaSingle umbilical arteryStillbirthUmbilical cordUbiquitinAntemortem skin biopsyArchicortexArticleAspiration pneumoniaAutopsyBrain ventricle dilatationBronchiolitisCase reportCaudate nucleusCause of deathCell lossCentral nervous systemCerebellum atrophyChildClarke columnClinical articleConvulsionCopy number variationCorpus striatumCortical gliosisDegenerative diseaseDentate nucleusDevelopmental disorderDyskinesiaElectron microscopyFemaleFeverGray matterHereditary motor sensory neuropathyHistologyHospital admissionHumanHuman cellHuman tissueMicroarray analysisMuscle atrophyMuscle biopsyNeocortexNuronal intranuclear inclusion diseaseNuclear magnetic resonance imagingPathogenesisPathologyPreschool childPriority journalPurkinje cellRecurrent diseaseSeizureSkin biopsySubstantia nigraWalking difficultyAdolescentAdultMaleNewbornPathologyPlacentaPregnancyStillbirthUmbilical cordYoung AdultAdolescentAdultFemaleHumansInfant, NewbornMalePlacentaPregnancyStillbirthUmbilical CordYoung AdultOlaya-C M.Gil F.Salcedo J.D.Salazar A.J.Silva J.L.Bernal J.E.Blackburn, W., Umbilical cord (2006) Human Malformation and Related Anomalies, pp. 1413-1495. , Stevenson Roger E., Hall Judith G., (eds), 1st ed, New York, NY, Oxford University Press, In:, (edsTantbirojn, P., Saleemuddin, A., Sirois, K., Gross abnormalities of the umbilical cord: related placental histology and clinical significance (2009) Placenta, 30 (12), pp. 1083-1088Horn, L.-C., Langner, A., Stiehl, P., Wittekind, C., Faber, R., Identification of the causes of intrauterine death during 310 consecutive autopsies (2004) Eur J Obstet Gynecol Reprod Biol, 113 (2), pp. 134-138Collins, J.H., Collins, C.L., Collins, C.C., (2011) Silent 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Sharma, G., Baergen, R.N., Clinical significance of the umbilical cord twist (2003) Am J Obs Gynecol, 189 (3), pp. 736-739Ezimokhai, M., Rizk, D.E., Thomas, L., Maternal risk factors for abnormal vascular coiling of the umbilical cord (2000) Am J Perinatol, 17 (8), pp. 441-445Rana, J., Ebert, G.A., Kappy, K.A., Adverse perinatal outcome in patients with an abnormal umbilical coiling index (1995) Obstet Gynecol, 85 (4), pp. 573-577Kaplan, C., Umbilical cord (2007) Color Atlas of Gross Placental Pathology, pp. 25-44. , New York, NY, SpringerCastilla, E., Lopez-Camelo, J., Paz, J., Orioli, E.M., (2002) ECLAMC Manual Operacional, , Documentos oficiales ECLAMCRoberts, J.M., August, P.A., Bakris, G., Hypertension in pregnancy. 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An observational study of 317 consecutive autopsies at a single institution (2010) Hum Pathol, 41 (7), pp. 971-979Pinar, H., Carpenter, M., Placenta and umbilical cord abnormalities seen with stillbirth (2010) Clin Obstet Gynecol, 53 (3), pp. 656-672Olaya-C, M., Salcedo-Betancourt, J., Galvis, S.H., Ortiz, A.M., Gutierrez, S., Bernal, J.E., Umbilical cord and preeclampsia (2016) J Neonatal Perinatal Med, 91, pp. 49-57Stewart, S., Chirality in the umbilical cord (1993) Br J Obs Gynaecol, 100, pp. 234-236Khong, T.Y., Evidence-based pathology: umbilical cord coiling (2010) Pathology, 42 (7), pp. 618-622Peres, L.C., Taylor, D., Overestimation of umbilical cord coiling index with segmental versus total length assessment (2012) Pediatr Dev Pathol, 15 (4), pp. 303-305Predanic, M., Perni, S.C., Chasen, S.T., Baergen, R.N., Chervenak, F.A., Assessment of umbilical cord coiling during the routine fetal sonographic anatomic survey in the second trimester (2005) J Ultrasound Med, 24 (2), pp. 185-191. , quiz 192–193Silver, R.M., Varner, M.W., Reddy, U., Work-up of stillbirth: a review of the evidence (2007) Am J Obstet Gynecol, 196 (5), pp. 433-444Petersson, K., Bremme, K., Bottinga, R., Diagnostic evaluation of intrauterine fetal deaths in Stockholm 1998-99 (2002) Acta Obstet Gynecol Scand, 81 (4), pp. 284-292Ovalle, A., Kakarieka, E., Correa, A., Vial, M.T., Aspillaga, C., Estudio anátomo-clínico de las causas de muerte fetal (2005) Rev Chil Obs Ginecol, 70 (5), pp. 303-312Olaya-C, M., Bernal, J.E., Umbilical cord abnormalities in fetal and neonatal pathology in Bogota (2014) J Perinat Med, 201, pp. 22-27Alessandri, L.M., Stanley, F.J., Garner, J.B., Newnham, J., Walters, B.N., A case-control study of unexplained antepartum stillbirths (1992) Br J Obstet Gynaecol, 99 (9), pp. 711-718Baergen, R.N., Pathology of the umbilical cord (2005) Manual of Benirschke and Kaufmann’s Pathology of the Human Placenta, pp. 249-276. , New York, NY, SpringerGrange, D.K., Arya, S., Opitz, J.M., Laxova, R., Herrmann, J., Gilbert, E.F., The short umbilical cord (1987) Birth Defects Orig Artic Ser, 23 (1), pp. 191-214Pinar, H., Goldenberg, R.L., Koch, M.A., Placental findings in singleton stillbirths (2014) Obstet Gynecol, 123, pp. 325-336Ohno, Y., Terauchi, M., Tamakoshi, K., Perinatal outcomes of abnormal umbilical coiling according to a modified umbilical coiling index (2016) J Obstet Gynaecol Res, 42, pp. 1457-1463http://purl.org/coar/resource_type/c_6501THUMBNAILMiniProdInv.pngMiniProdInv.pngimage/png23941https://repositorio.utb.edu.co/bitstream/20.500.12585/8870/1/MiniProdInv.png0cb0f101a8d16897fb46fc914d3d7043MD5120.500.12585/8870oai:repositorio.utb.edu.co:20.500.12585/88702021-02-02 15:06:48.101Repositorio Institucional UTBrepositorioutb@utb.edu.co |