Universität zu Köln

Walla, Tatjana, Rothschild, Markus A., Schmolling, Jan C. and Banaschak, Sibylle ORCID: 0000-0002-1413-1250 (2018). Umbilical cord entanglement's frequency and its impact on the newborn. Int. J. Legal Med., 132 (3). S. 747 - 753. NEW YORK: SPRINGER. ISSN 1437-1596

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Abstract

Neonaticide is a serious allegation that needs a complete chain of criminal investigations. In this context, a nuchal cord is considered to be responsible for an infant's death, but there is a clear lack of evidence. The purpose of our study is to reveal if a nuchal cord can be responsible for stillbirth, poor perinatal outcome, or neonatal death in the forensic aspect. We conducted a prospective study in collaboration with the Augustinian Sisters' Hospital in Cologne, Germany in the period from February 2014 to May 2016. Four-hundred eighty-six children were enrolled. All births were assessed regarding the occurrence of an umbilical cord entanglement, and perinatal outcome was measured by arterial blood gas analysis, Apgar after 1, 5, and 10 min after birth as well as the general vitality. The prevalence of a nuchal cord was 16.87%. Apgar decrease and acidosis were significantly associated with a nuchal cord. No adverse perinatal outcome was recorded in this constellation. There was no child death regarding the first 24 h, and no mother experienced a syncope while giving birth. We can conclude that a nuchal cord is not associated with adverse perinatal outcome.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Walla, Tatjana UNSPECIFIED UNSPECIFIED UNSPECIFIED Rothschild, Markus A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmolling, Jan C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Banaschak, Sibylle UNSPECIFIED orcid.org/0000-0002-1413-1250 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-188503
DOI:	10.1007/s00414-017-1746-8
Journal or Publication Title:	Int. J. Legal Med.
Volume:	132
Number:	3
Page Range:	S. 747 - 753
Date:	2018
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1437-1596
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language NUCHAL CORD; PREGNANCY; DELIVERY; MODE; OUTCOMES; TERM Multiple languages Medicine, Legal Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/18850