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Anatomical Pathology of the Umbilical Cord and Its Maternal and Fetal Clinical Associations in 434 Newborns

dc.creatorOlaya-C M.
dc.creatorGil F.
dc.creatorSalcedo J.D.
dc.creatorSalazar A.J.
dc.creatorSilva J.L.
dc.creatorBernal J.E.
dc.date.accessioned2020-03-26T16:32:32Z
dc.date.available2020-03-26T16:32:32Z
dc.date.issued2018
dc.identifier.citationPediatric and Developmental Pathology; Vol. 21, Núm. 5; pp. 467-474
dc.identifier.issn10935266
dc.identifier.urihttps://hdl.handle.net/20.500.12585/8870
dc.description.abstractIntroduction: 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.eng
dc.description.sponsorshipPontificia Universidad Javeriana
dc.format.mediumRecurso electrónico
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherSAGE Publications Ltd
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.sourcehttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85042210996&doi=10.1177%2f1093526618758204&partnerID=40&md5=989e3b087ecfc96b444b0f1f44f5fabe
dc.titleAnatomical Pathology of the Umbilical Cord and Its Maternal and Fetal Clinical Associations in 434 Newborns
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datacite.rightshttp://purl.org/coar/access_right/c_16ec
oaire.resourceTypehttp://purl.org/coar/resource_type/c_6501
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.identifier.doi10.1177/1093526618758204
dc.subject.keywordsCoiling index
dc.subject.keywordsCord accident
dc.subject.keywordsPlacenta
dc.subject.keywordsSingle umbilical artery
dc.subject.keywordsStillbirth
dc.subject.keywordsUmbilical cord
dc.subject.keywordsUbiquitin
dc.subject.keywordsAntemortem skin biopsy
dc.subject.keywordsArchicortex
dc.subject.keywordsArticle
dc.subject.keywordsAspiration pneumonia
dc.subject.keywordsAutopsy
dc.subject.keywordsBrain ventricle dilatation
dc.subject.keywordsBronchiolitis
dc.subject.keywordsCase report
dc.subject.keywordsCaudate nucleus
dc.subject.keywordsCause of death
dc.subject.keywordsCell loss
dc.subject.keywordsCentral nervous system
dc.subject.keywordsCerebellum atrophy
dc.subject.keywordsChild
dc.subject.keywordsClarke column
dc.subject.keywordsClinical article
dc.subject.keywordsConvulsion
dc.subject.keywordsCopy number variation
dc.subject.keywordsCorpus striatum
dc.subject.keywordsCortical gliosis
dc.subject.keywordsDegenerative disease
dc.subject.keywordsDentate nucleus
dc.subject.keywordsDevelopmental disorder
dc.subject.keywordsDyskinesia
dc.subject.keywordsElectron microscopy
dc.subject.keywordsFemale
dc.subject.keywordsFever
dc.subject.keywordsGray matter
dc.subject.keywordsHereditary motor sensory neuropathy
dc.subject.keywordsHistology
dc.subject.keywordsHospital admission
dc.subject.keywordsHuman
dc.subject.keywordsHuman cell
dc.subject.keywordsHuman tissue
dc.subject.keywordsMicroarray analysis
dc.subject.keywordsMuscle atrophy
dc.subject.keywordsMuscle biopsy
dc.subject.keywordsNeocortex
dc.subject.keywordsNuronal intranuclear inclusion disease
dc.subject.keywordsNuclear magnetic resonance imaging
dc.subject.keywordsPathogenesis
dc.subject.keywordsPathology
dc.subject.keywordsPreschool child
dc.subject.keywordsPriority journal
dc.subject.keywordsPurkinje cell
dc.subject.keywordsRecurrent disease
dc.subject.keywordsSeizure
dc.subject.keywordsSkin biopsy
dc.subject.keywordsSubstantia nigra
dc.subject.keywordsWalking difficulty
dc.subject.keywordsAdolescent
dc.subject.keywordsAdult
dc.subject.keywordsMale
dc.subject.keywordsNewborn
dc.subject.keywordsPathology
dc.subject.keywordsPlacenta
dc.subject.keywordsPregnancy
dc.subject.keywordsStillbirth
dc.subject.keywordsUmbilical cord
dc.subject.keywordsYoung Adult
dc.subject.keywordsAdolescent
dc.subject.keywordsAdult
dc.subject.keywordsFemale
dc.subject.keywordsHumans
dc.subject.keywordsInfant, Newborn
dc.subject.keywordsMale
dc.subject.keywordsPlacenta
dc.subject.keywordsPregnancy
dc.subject.keywordsStillbirth
dc.subject.keywordsUmbilical Cord
dc.subject.keywordsYoung Adult
dc.rights.accessrightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.ccAtribución-NoComercial 4.0 Internacional
dc.identifier.instnameUniversidad Tecnológica de Bolívar
dc.identifier.reponameRepositorio UTB
dc.description.notesubiquitin, 60267-61-0
dc.description.notesThe 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.
dc.type.spaArtículo
dc.identifier.orcid56461296300
dc.identifier.orcid13007407800
dc.identifier.orcid57200695532
dc.identifier.orcid57200700975
dc.identifier.orcid7403023453
dc.identifier.orcid53871077300


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