{"id":3067,"date":"2025-06-04T10:08:52","date_gmt":"2025-06-04T10:08:52","guid":{"rendered":"https:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=3067"},"modified":"2025-06-05T12:57:09","modified_gmt":"2025-06-05T12:57:09","slug":"ijar-2025-144","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2025-144\/","title":{"rendered":"IJAR.2025.144"},"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.13.2\/IJAR.2025.144.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;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-13-2.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;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> \u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 13; Issue 2 (June 2025)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong> 9225-9231<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2025.144<\/h3>\n<h3 style=\"text-align: justify;\">Comparison between Histomorphometry of Wharton&#8217;s Jelly of Umbilical Cord in Intrauterine Growth Retarded Foetus and Normal Foetus \u2013 Cross Sectional Study<\/h3>\n<p><strong>Dinesh Kumar *<sup>1<\/sup>, Jagdish S. Soni <sup>2<\/sup>, \u00a0Ravindra Kumar B <sup>3<\/sup>, Mitesh Dave <sup>4<\/sup>.<\/strong><\/p>\n<p style=\"text-align: justify;\"><sup>*1<\/sup> PhD Scholar, Department of Anatomy, Parul Institute of Medical Sciences &amp; Research, Faculty of Medicine, Parul University, Waghodia, Vadodara (391760), Gujarat, India. <strong>ORCiD:<\/strong> https:\/\/orcid.org\/0000-0003-1352-3276<\/p>\n<p style=\"text-align: justify;\"><sup>2<\/sup> Research Guide, Professor and Head, Department of Anatomy, Parul Institute of Medical Sciences &amp; Research, Faculty of Medicine, Parul University, Waghodia, Vadodara (391760), Gujarat, India. <strong>ORCiD:<\/strong> https:\/\/orcid.org\/0009-0006-4960-3250<\/p>\n<p style=\"text-align: justify;\"><sup>3<\/sup> Associate Professor, Department of Anatomy, Parul Institute of Medical Sciences &amp; Research, Faculty of Medicine, Parul University, Waghodia, Vadodara (391760), Gujarat, India. <strong>ORCiD:<\/strong> https:\/\/orcid.org\/0000-0003-0569-1472<\/p>\n<p style=\"text-align: justify;\"><sup>4<\/sup> Professor of Anatomy and Course Director of Histology, Department of Structural and Cellular Biology, Tulane University School of Medicine, New Orleans, Louisiana, USA. <strong>ORCiD:<\/strong> https:\/\/orcid.org\/0000-0002-2485-1569<\/p>\n<p style=\"text-align: justify;\"><strong>Corresponding Author: <\/strong>Dinesh Kumar, PhD Scholar, Department of Anatomy, Parul Institute of Medical Sciences &amp; Research, Faculty of Medicine, Parul University, Waghodia , Vadodara (391760), Gujarat, India. <strong>E-Mail:<\/strong> <a href=\"mailto:choudharyyydinesh@gmail.com\">choudharyyydinesh@gmail.com<\/a><\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Background: <\/strong>In normal pregnancies, sonographic investigations produced a nomogram for the Wharton&#8217;s jelly (WJ) area for varying gestational ages. Up to 32 weeks of pregnancy, the WJ area significantly increased; after that, it was steady. Extra-embryonic mesoderm is the source of WJ, Intrauterine growth restriction (IUGR) is related with not only an increased risk of perinatal morbidity and mortality but it is also may influence health of adult. Hence the basic research is very essential to understand the altered morphology of foetal tissues causing IUGR.<\/p>\n<p style=\"text-align: justify;\"><strong>Methods:<\/strong> This was an observational case series study. Just after delivery, 5 cm of umbilical cord was collected from 5 cm of the placenta and preserved in 10% formalin. Sections were embedded in paraffin wax and then processed for slide preparation. The sections were examined and analyzed.<\/p>\n<p style=\"text-align: justify;\"><strong>Result: <\/strong>The mean values of UC Diameter, UC Area, WJ Area, Total Vessel Area, UV Area, UA1 Area, UA2 Area in in IUGR group are 7.76\u00b11.06 mm, 48.12\u00b110.98 mm<sup>2<\/sup>, 43.66\u00b143.66 mm<sup>2<\/sup>, 4.46\u00b1 0.13 mm<sup>2<\/sup>, 1.69 \u00b1 0.08mm<sup>2<\/sup>, 1.23\u00b1 0.08 mm<sup>2<\/sup> and 1.54\u00b10.09 mm<sup>2 <\/sup>respectively. The mean values of UC Diameter UC Area, WJ Area, Total Vessel Area, UV Area, UA1 Area, UA2 Area in normal group are 11.86\u00b12.09mm, 56.40\u00b117.21mm<sup>2<\/sup>, 50.56\u00b134.21 mm<sup>2<\/sup>, 5.83 \u00b1\u00a0 0.24mm<sup>2<\/sup>, 2.45 mm<sup>2<\/sup>, 1.52 mm<sup>2<\/sup> and 1.87 mm<sup>2 <\/sup>respectively.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion: The <\/strong>Present study has revealed changes in the thickness of umbilical cord blood vessels that lead to IUGR. Significant changes in the <em>Wharton&#8217;s jelly <\/em>of umbilical blood vessel walls may be used as a very good indicator to detect IUGR or related conditions. Since the UC acts as a portal between the developing baby and the placenta, its shape may indicate the fetus&#8217;s health.<\/p>\n<p style=\"text-align: justify;\"><em><strong>Key Words:<\/strong><\/em> Intrauterine Growth Restriction, Intrauterine Growth Retardation, \u00a0Wharton&#8217;s jelly, Total vessel Area, Umbilical cord, Umbilical artery. \u00a0<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<p style=\"text-align: justify;\">[1]. Gude NM, Roberts CT, Kalionis B, King RG, Growth and function of the normal human placenta, Thromb. Res. 2004;114:397-407.<br \/>https:\/\/doi.org\/10.1016\/j.thromres.2004.06.038<br \/>PMid:15507270<br \/>[2]. 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Aortic intima-media thickness, serum IGF-I, IGFBP-3, and leptin levels in intrauterine growth-restricted newborns of healthy mothers. Pediatr Res. 2007;62(6):704-9.<br \/>https:\/\/doi.org\/10.1203\/PDR.0b013e318157caaa<br \/>PMid:17957164<br \/>[16]. Koistinen HA, Koivisto V, Andersson S, Karonen S-L, Kontula K, Oksanen L, et al. Leptin concentration in cord blood correlates with intrauterine growth 1. J Clin Endocrinol Metab. 1997;82(10):3328-30.<br \/>https:\/\/doi.org\/10.1210\/jcem.82.10.4291<br \/>PMid:9329363<br \/>[17]. Ba\u0144kowski E, Sobolewski K, Romanowicz L, Chyczewski L, Jaworski S. Collagen and glycosaminoglycans of Wharton&#8217;s jelly and their alterations in EPH- gestosis. Eur J Obstet Gynecol Reprod Biol. 1996;66(2):109-17.<br \/>https:\/\/doi.org\/10.1016\/0301-2115(96)02390-1<br \/>PMid:8735730<br \/>[18]. Gervaso F, Boschetti F, Pennati G. Evaluation of the Wharton\u05f3 s jelly poroelastic parameters through compressive tests on placental and foetal ends of human umbilical cords. J Mech Behav Biomed Mater. 2014;35:51-8.<br \/>https:\/\/doi.org\/10.1016\/j.jmbbm.2014.03.016<br \/>PMid:24743056<br \/>[19]. Proctor L, Fitzgerald B, Whittle W, Mokhtari N, Lee E, Machin G, et al. Umbilical cord diameter percentile curves and their correlation to birth weight and placental pathology. Placenta. 2013;34(1):62-6.<br \/>https:\/\/doi.org\/10.1016\/j.placenta.2012.10.015<br \/>PMid:23174148<br \/>[20]. Raio L, Ghezzi F, Di Naro E, Franchi M, Maymon E, Mueller M, et al. Prenatal diagnosis of a lean umbilical cord: a simple marker for the fetus at risk of being small for gestational age at birth. Ultrasound Obstet Gynecol. 1999;13(3):176-80.<br \/>https:\/\/doi.org\/10.1046\/j.1469-0705.1999.13030176.x<br \/>PMid:10204208<br \/>[21]. L Romanowicz E Ba\u0144kowski Lipid compounds of human Wharton&#8217;s jelly and their alterations in preeclampsiaInt J Exp Pathol. 2010; 91119 PMCID<br \/>[22]. K Sobolewski A Ma\u0142kowski E Ba\u0144kowski S Jaworski Wharton&#8217;s jelly as a reservoir of peptide growth factorsPlacenta2005;261074752.<br \/>https:\/\/doi.org\/10.1016\/j.placenta.2004.10.008<br \/>PMid:16226124<br \/>[23]. Bancroft, J.D. and Gamble, M. (2013) Theory and Practice of Histological Techniques. 7th Edition, Churchill Livingstone of Elsevier, Philadelphia.<\/p>\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> Dinesh Kumar, Jagdish S. Soni, Ravindra Kumar B, Mitesh Dave. Comparison between Histomorphometry of Wharton&#8217;s Jelly of Umbilical Cord in Intrauterine Growth Retarded Foetus and Normal Foetus \u2013 Cross Sectional Study. Int J Anat Res 2025;13(2):9225-9231. <strong>DOI:\u00a0<\/strong>10.16965\/ijar.2025.144\u00a0 \n             <\/div>\t\n\t\t\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of Article: \u00a0Original Research Volume 13; Issue 2 (June 2025) Page No.: 9225-9231 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2025.144 Comparison between Histomorphometry of Wharton&#8217;s Jelly of Umbilical Cord in Intrauterine Growth Retarded Foetus and Normal Foetus \u2013 Cross Sectional Study Dinesh Kumar *1, Jagdish S. Soni 2, \u00a0Ravindra Kumar B 3, Mitesh Dave 4. *1 PhD Scholar, Department of<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2025-144\/\">+ 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":{"_acf_changed":false,"footnotes":""},"class_list":["post-3067","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/3067","targetHints":{"allow":["GET"]}}],"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=3067"}],"version-history":[{"count":5,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/3067\/revisions"}],"predecessor-version":[{"id":3081,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/3067\/revisions\/3081"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=3067"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}