Nuchal cord
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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| Nuchal cord | |
|---|---|
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| |
| Synonyms | |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Usually none, but can include fetal distress |
| Complications | Hypoxia, stillbirth |
| Onset | During pregnancy |
| Duration | Until birth |
| Types | N/A |
| Causes | Umbilical cord wrapping around the fetal neck |
| Risks | Long umbilical cord, excess amniotic fluid |
| Diagnosis | Ultrasound |
| Differential diagnosis | |
| Prevention | None |
| Treatment | Careful monitoring during labor and delivery |
| Medication | N/A |
| Prognosis | Generally good with proper management |
| Frequency | Occurs in about 10-29% of pregnancies |
| Deaths | N/A |
Nuchal cord is a medical condition that occurs when the umbilical cord wraps around the fetus' neck 360 degrees. This condition is relatively common and can occur during pregnancy, labor, or birth.
Causes[edit | edit source]
The exact cause of a nuchal cord is not known. However, it is believed to be related to the movements of the fetus within the womb. The umbilical cord, which connects the fetus to the mother's placenta, can become wrapped around the fetus' neck as it moves and turns.
Diagnosis[edit | edit source]
A nuchal cord can be diagnosed during pregnancy through an ultrasound examination. However, it is often not detected until birth. During labor, a healthcare provider may suspect a nuchal cord if there are changes in the baby's heart rate.
Treatment[edit | edit source]
In most cases, a nuchal cord is not a cause for concern and does not require treatment. During birth, the healthcare provider can usually slip the cord over the baby's head or clamp and cut the cord before the baby is delivered. In some cases, a Cesarean section may be necessary.
Complications[edit | edit source]
While a nuchal cord is usually harmless, it can sometimes lead to complications. These can include decreased blood flow to the baby, which can lead to a lower heart rate. In rare cases, a nuchal cord can cause stillbirth.
Images[edit | edit source]
Ultrasound showing nuchal cord
Nuchal cord free
Nuchal cord locked
See also[edit | edit source]
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Contributors: Prab R. Tumpati, MD
