Suspect based on in the babies heart rate during labor, ultrasound[1]
Differential diagnosis
Birth asphyxia[1]
Treatment
Unwrapping the cord during delivery or if this is not possible clamping and cutting the cord[2]
Prognosis
Usually good[1]
Frequency
25% of deliveries[2]
A nuchal cord is when the umbilical cord becomes wrapped around the fetus's neck.[1] Symptoms present in the baby shortly after birth from a prior nuchal cord may include duskiness of face, facial petechia, and bleeding in the whites of the eye.[1] Complications can include meconium, respiratory distress, anemia, and stillbirth.[1] Multiple wraps are associated with greater risk.[3]
The diagnosis may be suspected if there is a decrease in the baby's heart rate during delivery.[1] Nuchal cords are typically checked for by running the finger over the baby's neck once the head has delivered.[4] Ultrasound may pick up the condition before labor.[1]
If detected during delivery, management includes trying to unwrap the cord or if this is not possible clamping and cutting the cord.[2] Delivery can typically take place as normal and outcomes are generally good.[5][1] Rarely long term brain damage or cerebral palsy may occur.[1][6] Nuchal cords occur in about a quarter of deliveries.[2] The condition has been described at least as early as 300 BC by Hippocrates.[1]
^ abcdefghijklmPeesay M (6 December 2017). "Nuchal cord and its implications". Maternal Health, Neonatology and Perinatology. 3 (1): 28. doi:10.1186/s40748-017-0068-7. PMC 5719938. PMID 29234502.
^ abcd"Nuchal Cord". Merck Manuals Consumer Version. June 2018. Archived from the original on 9 April 2021. Retrieved 2 October 2018.
^Hasegawa J, Matsuoka R, Ichizuka K, Sekizawa A, Okai T (March 2009). "Ultrasound diagnosis and management of umbilical cord abnormalities". Taiwanese Journal of Obstetrics & Gynecology. 48 (1): 23–7. doi:10.1016/S1028-4559(09)60031-0. PMID 19346188.
^Ferri FF (2014). Ferri's Clinical Advisor 2015 E-Book: 5 Books in 1. Elsevier Health Sciences. p. e23. ISBN 9780323084307.
^Adams JG (2012). Emergency Medicine E-Book: Clinical Essentials (Expert Consult -- Online). Elsevier Health Sciences. p. 1064. ISBN 978-1455733941.
^MacLennan AH, Thompson SC, Gecz J (December 2015). "Cerebral palsy: causes, pathways, and the role of genetic variants" (PDF). American Journal of Obstetrics and Gynecology. 213 (6): 779–88. doi:10.1016/j.ajog.2015.05.034. PMID 26003063.
nuchalcord is when the umbilical cord becomes wrapped around the fetus's neck. Symptoms present in the baby shortly after birth from a prior nuchal cord...
earlier than 37 weeks gestational age. A nuchalcord is a complication that occurs when the umbilical cord becomes wrapped around the fetal neck. Perinatal...
entanglement of the cord, a knot in the cord, or a nuchalcord, (which is the wrapping of the umbilical cord around the fetal neck) but these conditions...
head pressure to reduce vaginal lacerations. Cord check. The presence of an umbilical cord (nuchalcord) is checked to determine if it is around the baby's...
meningitis, and subarachnoid hemorrhage. Nuchal rigidity due to irritation of the lining of the brain and spinal cord is one of the main symptoms of meningitis...
When the cord is wrapped around the neck of the fetus, it is called a nuchalcord. These entanglements can cause constriction of blood flow to the fetus...
mountain, Pico Bolívar. As a consequence of complicated delivery due to nuchalcord, Melamed has generalized muscle hypotonia. Melamed is an economist graduated...
PMID 11733588. Dhar, KK; Ray, SN; Dhall, GI (1995). "Significance of nuchalcord". Journal of the Indian Medical Association. 93 (12): 451–3. PMID 8773129...
or misalignment of the cord itself. Cord compression happens in about one in 10 deliveries. Nuchalcord, when the umbilical cord is (tightly) around the...
sharing the same amniotic sac, resulting in risk of umbilical cord compression and nuchalcord. In very rare cases, there may be conjoined twins, possibly...
almost died at birth due to having the umbilical cord wrapped around his neck, a condition known as nuchalcord. By the time Dewji started school, his father...
Dagbladet, she said that she was born "dead" due to a lack of oxygen from a nuchalcord. Larsson grew up in Tallkrogen in Enskede, south of Stockholm. Her mother...
sac, and fetal pole (embryo); or later in pregnancy the foetus, umbilical cord, placenta, amniotic fluid, and amniotic membrane. The presence of a pregnancy...
alignment of the vertebral neural arches that encloses and protects the spinal cord, with spinal nerves exiting via the intervertebral foramina to innervate...
previous civilization, whom they call the Fuckwits. Tetley was born with a nuchalcord; her parents did not believe she would survive and neglected her in favor...
more grim. It is discovered that the cause for Jordan's concern is a nuchalcord. While resting in the emergency room, she suffers spasms indicating eclampsia...
nuchal lines. The inferior nuchal line runs across the midpoint of the median nuchal line. The area above the highest nuchal line is termed the occipital...
delivery of an infant, including managing conditions such as nuchalcord, prolapsed cord, and breech delivery. Recognizing and providing supportive care...
border, and by a thin aponeurosis into the lateral half of the superior nuchal line of the occipital bone. The sternocleidomastoid is innervated by accessory...
ultrasound technician and interpreting obstetrician, and maternal obesity. Nuchal scan Committee on Practice Bulletins—Obstetrics the American Institute of...
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