Introduction. To investigate the effect of complex umbilical cord entanglement primarily around the trunk on pregnancy outcomes.\nMethods.We studied 6307 pregnant women with singleton pregnancies who underwent vaginal delivery of an infant at �37 weeks\nof gestation. Cases were classified into no cord, nuchal cord, and body cord groups and defined as cases without umbilical cord\nentanglement, one or more loops of the umbilical cord around the neck only, and umbilical cord around the trunk only, respectively.\nPregnancy outcomes were compared among these three groups. Results.The no cord, nuchal cord, and body cord group included\n4733, 1451, and 123 pregnancies, respectively. Although delivery mode was not significantly different among the three groups, 1-\nminute Apgar scores <7 and umbilical artery (UA) pH <7.10 were significantly more common in the umbilical cord entanglement\ngroups than in the no cord group. In particular, the frequency of 5-minute Apgar scores <7 was significantly higher (
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