{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T05:56:39Z","timestamp":1783835799478,"version":"3.55.0"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,1,3]],"date-time":"2018-01-03T00:00:00Z","timestamp":1514937600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology & Obste"],"published-print":{"date-parts":[[2018,4]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>To identify nuchal cord risk factors.<\/jats:p><\/jats:sec>Methods<\/jats:title>The present case\u2013control study was carried out between December 2016 and April 2017 at two hospitals in Yaound\u00e9, Cameroon. Singletons with a nuchal cord at delivery (case group) as well as the two neonates without a nuchal cord delivered immediately after each case (control group), all in cephalic presentation, were included. Undated pregnancies were excluded. The main variables studied were maternal age, parity, pregnancy duration at delivery, cord insertion site, cord length, delivery weight, and fetal sex.<\/jats:p><\/jats:sec>Results<\/jats:title>A nuchal cord was present in 121 (6.0%) of 2015 singletons. The final analysis included 114 and 228 neonates in the case and control groups, respectively, with similar maternal age, parity, pregnancy duration, and delivery weight. Significant independent risk factors for nuchal cord formation were a cord length of 70\u00a0cm or more (adjusted odds ratio [aOR<\/jats:styled-content>] 19.10, 95% confidence interval [CI<\/jats:styled-content>] 8.63\u201342.04), a pregnancy duration of more than 42\u00a0weeks (aOR<\/jats:styled-content> 7.43, 95% CI<\/jats:styled-content> 1.46\u201337.21), marginal cord insertion (aOR<\/jats:styled-content> 2.90, 95% CI<\/jats:styled-content> 1.11\u20139.35), and a male fetus (aOR<\/jats:styled-content> 2.14, 95% CI<\/jats:styled-content> 1.16\u20137.74).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Marginal cord insertion and post\u2010term pregnancy should be added to the list of known nuchal cord risk factors.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12421","type":"journal-article","created":{"date-parts":[[2017,12,7]],"date-time":"2017-12-07T16:48:55Z","timestamp":1512665335000},"page":"108-112","source":"Crossref","is-referenced-by-count":18,"title":["Risk factors for nuchal cord entanglement at delivery"],"prefix":"10.1002","volume":"141","author":[{"given":"Elie","family":"Nkwabong","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine and Biomedical Sciences Yaound\u00e9 Cameroon"},{"name":"University Teaching Hospital Yaound\u00e9 Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacky","family":"Ndoumbe Mballo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine and Biomedical Sciences Yaound\u00e9 Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julius Sama","family":"Dohbit","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Faculty of Medicine and Biomedical Sciences Yaound\u00e9 Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,1,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1515\/JPM.2008.012","article-title":"Nuchal cord in post\u2010term pregnancy \u2010 relationship to suspected intrapartum fetal distress indicating operative intervention","volume":"36","author":"Ghosh GS","year":"2008","journal-title":"J Perinat Med"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2012.79"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2011.03.022"},{"key":"e_1_2_7_5_1","first-page":"360","article-title":"Nuchal cord and perinatal outcome","volume":"5","author":"Shrestha NS","year":"2007","journal-title":"Kathmandu Univ Med J (KUMJ)"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2016.1223035"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-015-3630-4"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0377-1237(08)80102-5"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2012.05.015"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13224-012-0273-2"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.10211"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13224-012-0194-0"},{"key":"e_1_2_7_13_1","first-page":"39","article-title":"Risk factors and outcomes associated with nuchal cord. 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