| Abstract | Cilj ovog rada bio je istražiti utječe li omotana pupkovina oko vrata u porodu na učestalost rađanja hipoksične djece, ocijenjeno Apgar score – om te povećava li učestalost rađanja carskim rezom. Provedeno je retrospektivno istraživanje u Klinici za ženske bolesti i porode KBC – a Split u razdoblju od 1. srpnja 2022. do 1. listopada 2022. godine. Tijekom navedenog razdoblja ukupno je bilo 1075 poroda. Studijsku grupu činili su porodi s omotanom pupkovinom oko vrata kojih je bilo 168, dok je ostatak od 907 poroda predstavljao kontrolnu skupinu. Rezultati rada obuhvaćali su: broj poroda, rodnost, termin poroda, način poroda, težinu novorođenčadi, Apgar score, pH pupkovine, duljinu pupkovine te broj omotaja pupkovine oko vrata fetusa. Istraživanjem je dokazano kako omotana pupkovina oko vrata ne utječe na nepovoljne ishode trudnoće, kao ni na nižu vrijednost Apgar score – a. Također je potvrđena hipoteza iz dostupne literature koja govori o tome kako omotana pupkovina oko vrata nije indikacija za porod carskim rezom. |
| Abstract (english) | The aim of this study was to investigate whether a nuchal cord during childbirth affects the incidence of hypoxic infants, as assessed by Apgar score, and whether it increases the rate of cesarean section deliveries. A retrospective study was conducted at the Department of Obstetrics and Gynecology, Clinical Hospital Center Split, from July 1, 2022, to October 1, 2022. During this period, a total of 1,075 deliveries were included. The study group consisted of deliveries with a nuchal cord, totaling 168 cases, while the remaining 907 deliveries formed the control group. The study's results included the number of deliveries, birth rate, gestational age, mode of delivery, newborn weight, Apgar scores, umbilical cord pH, cord length, and the number of cord wraps around the fetus's neck. The study demonstrated that a nuchal cord does not have an impact on adverse pregnancy outcomes or lower Apgar scores. Additionally, the hypothesis from available literature was confirmed, indicating that a nuchal cord is not an indication for cesarean section. |
