ABSTRACT
Background: The Umbilical cord is the fetal lifeline and it is a structure that connects the foetus to the placenta.Placenta and umbilical cord acts as a mirror which reflects intrauterine status of foetus. The length of theumbilical cord varies from achordia to 300 cm. This study aims to identify the relationship between the umbilicalcord length and birth weight and other parameter such as maternal age, gestational age and gender. More recentresearch suggests that the length of the cord at birth is influenced by intrauterine fetal activity & thereforecorrelate with fetal well being.Materials and Methods: This cross sectional study was conducted in Anatomy department in collaboration withgynecology department of our hospital on 100 freshly delivered samples of placenta with cord which are obtainedfrom labour room of our Government Hospital.Conclusion: The range of cord length was 28- 106 cm .However maximum were between 40cm to 60 cm in length.The mean length was 53.18 cm. Cord length varies with birth weight and conclude that as cord length showspositive correlation with birth weight (r=0.40).
ABSTRACT
Guidelines for measuring blood pressure includes measurement of blood pressure on both arms but it is often ignored. Our case report aims at highlighting the need follow the guidelines. A 60 year old 59 kg weighing male asymptomatic patient without any comobidities was posted for bilateral inguinal hernia repair. The interarm blood pressure difference was discovered incidentally during his preanaesthetic evalution. On further evaluation patient was found to be having subclavian stenosis on left side which was asymptomatic. Intraoperative and post operative period was uneventful. Blood pressure measurement should be done in accordance with the stipulated guidelines. Inter arm blood pressure difference should be noted in all patients as not only for diagnosis and treatment of hypertension but also as a tool to diagnose asymptomatic peripheral vascular disesase.