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Abstract The objective: To investigate the role of different diagnostic methods in the detection of nuchal cord among full term pregnant women. The effect of presence of nuchal cord on perinatal outcome and mode of delivery were also measured. Methodology: 250 full term pregnant women were examined by two dimensional ultrasound and color Doppler ultrasound to detect nuchal cord presence and to study its effect on mode of delivery and perinatal outcome. Results: The accuracy of two-dimensional ultrasound in detection of nuchal cord is 61.2 % compared to that of color doppler ultrasound which is 94%, so the ability to view the nuchal cord was better with color doppler than with two-dimensional ultrasound. 21 cases (8.4%) ended pregnancy by cesarean section. Meconium staining occurred in 11 cases (4.4%). 13 cases out of 250 neonates have 1-min APGAR score less than 7 at delivery (5.2 %); Out of those 13 cases, 5 cases continued to have an APGAR score less than 7 even after 5-minutes (2%) and needed NICU admission |