{"id":2137,"date":"2020-01-05T06:07:36","date_gmt":"2020-01-05T06:07:36","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=2137"},"modified":"2020-01-05T06:07:36","modified_gmt":"2020-01-05T06:07:36","slug":"ijar-2019-311","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2019-311","title":{"rendered":"IJAR.2019.311"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijar.8.1\/IJAR.2019.311.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-8-1.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 8; Issue 1.1 (January 2020)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a07200-7206<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2019.311<\/h3>\n<h3 style=\"text-align: justify;\">MORPHOLOGICAL FEATURES OF THE UMBILICAL CORD VESSELS AT THE DELIVERY, IN SUDANESE NEONATES<\/h3>\n<p style=\"text-align: justify;\"><strong>Elghazaly A.\u00a0 Elghazaly *<sup>1<\/sup>, Jameel Alghamdi <sup>2<\/sup>.<\/strong><\/p>\n<p><sup>*1<\/sup> Department of Anatomy, Faculty of Medicine and Health Sciences, Omdurman Islamic University, Sudan. Department of Anatomy, Faculty of Medicine, Al-Baha University, KSA.<\/p>\n<p><sup>2<\/sup> Department of pediatrics, Faculty of Medicine, Al- Baha University, KSA.<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding Author:<\/strong> Dr. Elghazaly A. Elghazaly, Department of Anatomy, Faculty of Medicine and Health Sciences, Omdurman Islamic University, Sudan. Department of Anatomy, Faculty of Medicine, Al-Baha University, KSA. <strong>E-Mail:<\/strong> gazaly518@yahoo.com<\/p>\n<h3 style=\"text-align: justify;\">ABSTRACT<\/h3>\n<p style=\"text-align: justify;\"><strong>Objective:<\/strong> This study was aim to describe the morphological features of the cord vessels at the birth.<strong>\u00a0\u00a0\u00a0 <\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Materials and methods: <\/strong>980 umbilical cords of single birth Sudanese neonates, of normal vaginal deliveries were studied, with mother age ranged between 18 to 45 years and parity from 1 to 8 children. The study was carried out in the department of Obstetrics and Gynecology, Omdurman Maternity Hospital, Sudan, 2017.\u00a0 \u00a0The cords were cut about 5 centimeters from the baby abdominal wall using scissor; the parts of the cords from the cut end to the placental insertion were dissected using the anatomical dissection tools and method, their blood were delivered from surrounding tissues and studied; the study includes; gross observation of the cord vessels.\u00a0 For general histology, two cm. of cord tissue was studied, using natural historical stains and methods. Special stains, Masson\u2019s Trichrome, Van Gieson and Verhoff\u2019s were used to clarify the connectives tissues within the cord.<\/p>\n<p style=\"text-align: justify;\"><strong>Results and conclusion: <\/strong>the single umbilical artery were about 1.2%, more common in male, the ratio of male-to-female was about 2:1, \u00a0and\u00a0 it was found associated with spina bifida and \u00a0hydrocephalus. the relation between cord vessels after dissection showed that; \u00a0in same cords arteries and vein were course together in a parallel fashions, vein centrally with arteries peripherally, some showed vein run predominantly straight with arteries coiled around it,\u00a0 while other showed arteries and vein course together in a helical\u00a0fashion in a one-to-one relationship. Moreover the cord vessels don\u2019t run close each other like the rest of the blood vessels in the body, they were found separated by a wide tissues structure of Wharton\u2019s jelly without branches elements, and the after the umbilical vein was found surrounded by a special sheath. It is concluding that, the highly condensed tissue around the vein, it helps to maintenance the vein and preventing it from occlusion; because the vein is fewer coils and under tensile force of the fetal mobility. Our recommendation that; studding morphological features the cord vessels is significantly important, because their relations play an essential role in fetal intrauterine survival.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words:<\/strong> Morphological Features, Umbilical Cord Vessels, At Delivery.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Chow, J. S., Benson, C. B., Doubilet, P. M. Frequency and nature of structural anomalies in fetuses with single umbilical arteries. J Ultrasound Me. 1998;17(12):765-8.<\/li>\n<li style=\"text-align: justify;\">Ghatersamni F, Rashid R. J, Tarzamni M.K. Single umbilical artery: prevalence and clinical significance in prenatal sonography. Journal of obestitric and gynecology radiology 2007;17(4):269-272.<\/li>\n<li style=\"text-align: justify;\">Keith L Moore, Persaud\u00a0 T V N, Mark G. Torchia. Fetal membranes. The Developing Human: Clinically Oriented Embryology with Student Consult Online. 9<sup>th<\/sup> Lippincott Williams &amp; Wilinks. Canada 2011;125-131.<\/li>\n<li style=\"text-align: justify;\">Cromi A, Ghezzi F, Duerig P, Travaglini M, Buttarelli M, Raio L. Sonographic atypical vascular coiling of the umbilical cord. Journal of Prenatal Diagnosis 2005;25(1):1-6.<\/li>\n<li style=\"text-align: justify;\">Chitra T, Sushanth Y S, Raghavan S. Umbilical coiling index as a marker of perinatal outcome: an analytical study. Journal of Obstet Gynecol Int 2012;21(10): 1155-58.<\/li>\n<li style=\"text-align: justify;\">Samuel Bimpong, Chrissie Stansie Abaidoo, Obed Ohene-Djan Atuahene , JoshuaTetteh. Morphomertric characterization of umbilical cord vessels and neonatal outcome. Int J Anat Res, 2019;7(1.1):6050-58.<\/li>\n<li style=\"text-align: justify;\">Marie Helen Beall, Michael G Ross. Umbilical Cord Complications. Journal of Obstetrics and Gynecology 2009;24(13): 218-23.<\/li>\n<li style=\"text-align: justify;\">Collins JH. Umbilical cord accidents and legal implications. Semin Fetal Neonatal Med 2014; 19 (5): 285-9.<\/li>\n<li style=\"text-align: justify;\">Meyer W, Rumpelt HJ, Yao AC, Lind J. Structure and closure mechanism of the human umbilical artery. European Journal of Pediatric 1978; 128(4):247-59.<\/li>\n<li style=\"text-align: justify;\">Gill P, Jarjoura D. Wharton&#8217;s Jelly in the Umbilical Cord: a study of its quantitative variations and clinical correlates. Journal of Reproductive Medicine 1993; 38(8): 611-613.<\/li>\n<li style=\"text-align: justify;\">Ferguson VL, Dodson RB. Bioengineering aspects of the umbilical cord. European Journal of Obstetrics and Gynecology and Reproductive Biology 2009; 44(1):108-13.<\/li>\n<li style=\"text-align: justify;\">Culling R E. Handbook of Histological and Histochemical Techniques. 3<sup>rd<\/sup> Butterworth. London. 1974;258-264.<\/li>\n<li style=\"text-align: justify;\">Bancroft J D, Stevens A, (1990). Theory and practice of histological techniques. 3<sup>rd<\/sup> Churchill Livingstone. Minnesota. 1990;221-224.<\/li>\n<li style=\"text-align: justify;\">Bourke WG, Clarke TA, Mathews TG, Halpin D, Donoghue VB. Isolated single umbilical artery-the case for routine renal screening. Archives Diseases in Childhood 1993; 68(5):600-1.<\/li>\n<li style=\"text-align: justify;\">Abuhamad AZ, Shaffer W, Mari G, Copel JA, Hobbins JC, Evans AT. Single umbilical artery: Does it matter which artery is missing. Am J Obstet Gynecol 1995;173 (3):728-32.<\/li>\n<li style=\"text-align: justify;\">Blazer S, Sujov P, Escholi Z, Itai B, Bronshtein M. Single umbilical left or right artery does it matter. Prenat Diagnos 1997;17(1):5-8.<\/li>\n<li style=\"text-align: justify;\">Fukada Y, Yasumizi T, Hoshi K. Single umbilical artery: Correlation of the prognosis and side of the missing artery. Int J Gynecol Obstet 1998; 61(1):67-8.<\/li>\n<li style=\"text-align: justify;\">Rajit Narayan a Rahmah Saaid a, d Lars Pedersen c Jon Hyett. Ultrasound Assessment of Umbilical Cord Morphology in the First Trimester: A Feasibility Study. Fetal Diagn Ther 2015;38(3):212-217.<\/li>\n<li style=\"text-align: justify;\">Geipel A, Germer U, Welp T, Schwinger E, Gembruch U. Prenatal diagnosis of single umbilical artery: determination of the absent side, associated anomalies, Doppler findings and perinatal outcome. Ultrasound Obstet Gynecol 2000; 15(2): 114\u20137.<\/li>\n<li style=\"text-align: justify;\">Nyberg DA, Mahony BS, Luthy D. Single umbilical artery: Prenatal detection of concurrent anomalies. Journal of Ultrasound Medicine 1991; 10(5):247-53.<\/li>\n<li style=\"text-align: justify;\">Gornall AS, Kurinczuk JJ, Konje JC. Antenatal detection of a single umbilical artery: Does it matter. Prenat Diagn. 2003;23(2): 117-23.<\/li>\n<li style=\"text-align: justify;\">Mu SC, Lin CH, Chen YL, Sung TC, Bai CH, Jow GM. \u00a0The perinatal outcomes of asymptomatic isolated single umbilical artery in full-term neonates.\u00a0Pediatr Neonatol 2008; 49(6):230-3.<\/li>\n<li style=\"text-align: justify;\">Dane B, Dane C, Kiray M, Cetin A, Yayla M. Fetuses with single umbilical artery: analysis of 45 cases. Clinical and Experimental Obstetric Gynecol. 2009;36(2):116-9.<\/li>\n<li style=\"text-align: justify;\">S.A. Single umbilical artery: A statistical analysis of 237 autopsy cases and review of the literature. Perspect Pediatr Pathol 1984;8(4):345-78.<\/li>\n<li style=\"text-align: justify;\">Fujikura T. \u00a0Fused umbilical arteries near placental cord insertion.\u00a0American Journal of Obstetrics and Gynecology 2003;188(8):765-7.<\/li>\n<li style=\"text-align: justify;\">Santillan M, Santillan D, Fleener D, Stegmann B. Zamba G, Hunter S, Yankowitz J. Single umbilical artery. Fetal Diagnosis Therapy2012;32(3):201-8.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Elghazaly A. Elghazaly, Jameel Alghamdi. MORPHOLOGICAL FEATURES OF THE UMBILICAL CORD VESSELS AT THE DELIVERY, IN SUDANESE NEONATES. Int J Anat Res 2020;8(1.1):7200-7206.\u00a0<strong>DOI:\u00a0<\/strong>10.16965\/ijar.2019.311\u00a0 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 8; Issue 1.1 (January 2020) Page No.:\u00a07200-7206 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2019.311 MORPHOLOGICAL FEATURES OF THE UMBILICAL CORD VESSELS AT THE DELIVERY, IN SUDANESE NEONATES Elghazaly A.\u00a0 Elghazaly *1, Jameel Alghamdi 2. *1 Department of Anatomy, Faculty of Medicine and Health Sciences, Omdurman Islamic University, Sudan. Department of Anatomy, Faculty of Medicine, Al-Baha University,<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2019-311\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2137"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=2137"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2137\/revisions"}],"predecessor-version":[{"id":2138,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2137\/revisions\/2138"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=2137"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}