Once the Umbilical Cord Wraps Round the Baby’s Neck

 

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A nuchal cord occurs when the umbilical cord wraps around the fetal neck completely or for 360 degrees. Nuchal cords are common during pregnancy with incidences recorded at around 12 percent at. A nuchal chord—when the umbilical cord is wrapped around the baby’s neck—is a very common event, occurring in about one-third of all births. The cord becomes wrapped around the neck during pregnancy as the baby moves around. The umbilical cord is covered with a thick protective coating known as Wharton’s Jelly.

Nuchal cord occurs when the umbilical cord becomes wrapped around baby’s neck 360 degrees during pregnancy and/or labor. According to a recent study, nuchal cord transpires in roughly 10 percent to 29 percent of fetuses; odds of occurrence increase as baby continues to gestate. Double or triple nuchal cords—when the cord is wrapped around the neck more than.

It’s usually not until the delivery of a healthy baby that the diagnosis of an umbilical cord wrapped around the baby’s neck is made and most of the time nobody suspected or knew about it before the delivery. Though it seems a very dramatic event, a cord wrapped around the baby’s neck is seen in about 2-3 out of 10 normal deliveries. Nuchal cord is the term used by medical professionals when your baby has their umbilical cord wrapped around their neck. This can occur during pregnancy, labor, or birth.

The umbilical cord is your. A nuchal cord 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 may include duskiness of face, facial petechia, and bleeding in the whites of the eye. Complications can include meconium, respiratory distress, anemia, and stillbirth.

Multiple wraps are associated with greater risk. The diagnosis may be suspected if there is a decrease in the baby’s heart rate during delivery. Sometimes though, the umbilical cord wraps around the baby’s neck during pregnancy or birth. It is this knot that is known as a nuchal cord. According to an article published in BMC Pregnancy Childbirth, “a nuchal cord (or Cord-Around-the Neck (CAN)) occurs when the umbilical cord becomes wrapped around the fetal neck 360 degrees.”.

Particularly in the first and early second trimesters when a baby’s size is very small, their constant movement can lead to wrapping the umbilical cord around different parts of their bodyarm. The umbilical cord around the baby’s neck The umbilical cord can be wound around the baby at any time of the pregnancy. It can even be wound around any part of the baby’s body.

In fact, it’s fairly common for the umbilical cord to become entangled with the baby’s arms or legs. A nuchal cord birth injury occurs when the umbilical cord becomes wrapped around a baby’s neck, causing medical problems. An umbilical cord, which connects an infant to a mother while inside the womb, has the ability to wrap itself around a baby’s neck in single, double, and more loops.

List of related literature:

Most care providers gently remove the cord by slipping it over the baby’s neck at the time of emergence, and the baby continues to be

“HypnoBirthing, Fourth Edition: The Natural Approach to Safer, Easier, More Comfortable Birthing The Mongan Method, 4th Edition” by Marie Mongan
from HypnoBirthing, Fourth Edition: The Natural Approach to Safer, Easier, More Comfortable Birthing The Mongan Method, 4th Edition
by Marie Mongan
Health Communications, Incorporated, 2015

Compression of the blood vessels in the umbilical cord, shutting off the blood supply to the fetus, may occur if the cord becomes knotted or wrapped tightly around the infant’s neck or limbs (FIGURE 18-12).

“An Introduction to Human Disease: Pathology and Pathophysiology Correlations” by Leonard V. Crowley
from An Introduction to Human Disease: Pathology and Pathophysiology Correlations
by Leonard V. Crowley
Jones and Bartlett Publishers, 2004

It attaches to the mother’s uterus and connects to the growing baby via the umbilical cord.

“Kinn's Medical Assisting Fundamentals E-Book: Administrative and Clinical Competencies with Anatomy & Physiology” by Brigitte Niedzwiecki, Julie Pepper, P. Ann Weaver
from Kinn’s Medical Assisting Fundamentals E-Book: Administrative and Clinical Competencies with Anatomy & Physiology
by Brigitte Niedzwiecki, Julie Pepper, P. Ann Weaver
Elsevier Health Sciences, 2018

the sac is snipped or torn behind the baby’s neck and peeled away from the face so that the baby can breathe.

“Mosby's Medical Dictionary E-Book” by Mosby
from Mosby’s Medical Dictionary E-Book
by Mosby
Elsevier Health Sciences, 2013

Feel around the infant’s neck for presence of the umbilical cord (nuchal cord).

“Leifer's Introduction to Maternity & Pediatric Nursing in Canada E-Book” by Gloria Leifer, Lisa Keenan-Lindsay
from Leifer’s Introduction to Maternity & Pediatric Nursing in Canada E-Book
by Gloria Leifer, Lisa Keenan-Lindsay
Elsevier Health Sciences, 2019

To achieve the optimal blood volume, your caregiver places your baby on your abdomen (so he’s level with the placenta) until the cord stops pulsating, at which time your baby’s cord is clamped and cut.

“Pregnancy, Childbirth, and the Newborn: The Complete Guide” by Janet Walley, Penny Simkin, Ann Keppler, Janelle Durham, April Bolding
from Pregnancy, Childbirth, and the Newborn: The Complete Guide
by Janet Walley, Penny Simkin, et. al.
Meadowbrook, 2016

A widely held folk belief persists that raising one’s arm above one’s head or tying knots may cause the umbilical cord to wrap around the baby’s neck and become knotted.

“Foundations of Nursing E-Book” by Kim Cooper, Kelly Gosnell
from Foundations of Nursing E-Book
by Kim Cooper, Kelly Gosnell
Elsevier Health Sciences, 2018

When the cord dries up and falls off itself they will get a piece of string and carry it around their neck till the baby starts walking.

“Childbirth Across Cultures: Ideas and Practices of Pregnancy, Childbirth and the Postpartum” by Pamela Kendall Stone, Helaine Selin
from Childbirth Across Cultures: Ideas and Practices of Pregnancy, Childbirth and the Postpartum
by Pamela Kendall Stone, Helaine Selin
Springer Netherlands, 2009

Feel around the infant’s neck for the presence of the umbilical cord (nuchal cord).

“Introduction to Maternity and Pediatric Nursing E-Book” by Gloria Leifer
from Introduction to Maternity and Pediatric Nursing E-Book
by Gloria Leifer
Elsevier Health Sciences, 2018

Some clinicians place the newborn on the mother’s chest or abdomen while clamping the cord.

“Pfenninger and Fowler's Procedures for Primary Care E-Book” by Grant C. Fowler
from Pfenninger and Fowler’s Procedures for Primary Care E-Book
by Grant C. Fowler
Elsevier Health Sciences, 2019

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
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  • Umbilical cords can unravel. When you’re in labor, they will put you on a fetal monitor. Ask the nurse if there are any variable decels which I describe in my book. They look like the letter “U” on the monitor. These are not good because it means the baby is not getting enough oxygen. If there are variables that last for more than 5 to 10 minutes, the baby might be in danger and needs to be delivered urgently.

  • My mom had serious car accident and umblical cord around my neck 3 times in a row during 7 month of pregnancy cause me to have a brain damage cause cerebral palsy.

  • Hello Doctor, Every baby should have 2 O2 cord and 1 Co2 Cord so total 3cord is there any problem with only 2cord for 5 month baby?

  • Hi Madam,

    My wife also Gone through this problem and by the Gods Grace Baby Got Delivered Normally.. And Now again she is Pregnant and Much Worried about this. Request you to kindly suggest us take necessary prevention.. As this is COVID time Doctors is also not checking properly..
    As this the first month running..

  • I’m 35 weeks pregnant and I loved this video because I have gone for my sonography today and I found that there is 1 single layer of cord wrapped around my baby’s neck. I am worried as this is my first baby at the age of 40 in my second marriage. I have faced a lot in my life and now am scared nothing worse should ever happen. The sonography done today also revealed that there is resistance to the right uterine artery. Please guide me what to do.

  • hello doctor my wife have a fetus of 34 weeks and there were two loops of cord around the baby’s nape of neck, now there is only one loop, what should we do and what are the chance of having a normal delivery…….

  • This review is not based in current research, which suggests that nuchal cords are not a cause for concern and that interventions are not appropriate most of the time.  Between 30-40% of all newborns have a cord wrapped around their necks one, two, or three times at the time of their births. It is normal and not a cause for concern.  According to the research, in the absence of other factors, a c-section would be inappropriate based on a nuchal cord alone.  During the birth process, the nuchal cord very rarely prevents the babies birth, and it can be dealt with during the normal vaginal birthing process.  While a nuchal cord is not a cause for concern, an observation that would cause concern would be if the mother no longer felt the baby moving.  Also, there is strong evidence to support leaving the cord connected between the mother and the baby until the baby has established regular breathing on its own (as opposed to cutting the cord immediately, which may cause the baby stress and reduce communication to the placenta, which is readying for its death, as it will soon no longer be needed by the baby). 
    http://midwifethinking.com/2010/07/29/nuchal-cords/ 

  • Im 28 weeks pregnant and my baby has Double wrap umbilical cord around the neck im really scared. As i also suffer from severe pre eclampsia..i lost 2 babies..she is facing down im scare to hurt her is there a way to sleep or sit. Bc im scared she chokes. The doctor says is fine not to worry she will get loose.. her head is on the righ side and scare to sleep on my left pleade help me..

  • I lost my first son from that very cause. He died at arrival. Blue. If I hadn’t warned my next doctor, I would have lost my next son. He had to push his head back in to remove the cord, but James is alive and well, And the re -entry lol was well worth it. So PLEASE don’t down play it. thanks

  • I had my umbilical cord wrapped around my neck and when I came out, I was clinically dead and also very blue. I had to be resuscitated and I had oxygen tubes in my nose.

  • In my last ultra report “Single loop of cord is seen aroun fetel neck” is mentioned.. I am worried about it. 39 weaks continued and babay weight3184 gm. There is no other complicay in my pregnancy. Should I wait for normal delivery?

  • Mam I am 33 week pregnant and ultrasound shows cord arround neck and afi 7 retro placenta with grade 2 maturity what to do please suggest me

  • +Linda Burke-Galloway: Thanks for Sharing this important information about babies & umbilical cord around the baby’s neck; though I don’t have any children & is pregnant; but it was still good to know about it.
    My Main Queries Is Seeing You’re a Doctor If you are & If That,’s What you mention or said in the video tutorial; I Was Born With A Short Neck Size (Slightly Shortly then the average Short Neck Size) If You Understand What I mean & I Was Also Biorn In a Breech Position As Well; Can You Please Tell Me If Possible What’s The Cause/Problem(s) Of My Short Neck & How It Resulted In My Birth Delivery; Just Asking. I Look Forward to Your Reply A. S.A.P!
    NB: When I Refer To My Neck Being a Little Shorter Than The Average Size Short Neck in others; Is That In My Case When I Look Down At Myself Inside my body I Don’t See Chest Area At All; But I See My Busts First; Follow By My Stomache Etc. Whereas In Most Cases Of Others With Short Necks Or Vice Versa I Assume You/They Can See Their Chest Area First Follow By Their Busts,Stomach Etc. I Find That Very Complicated/Confuse As to Why The Above Situation Mention In The Posts Had to Happen to Me & I Assume I’m the Only One Born So WorldWide.I Sent My Apologies for the Long Post Message.

  • I am already in my labor and 3 cm already. My ultrasound was made at March 23, and my doctor ask me to get another ultrasound. But the problem is they are closed because of the Covid 19. What should I do?

  • I am 34weeks pregnant. N usg shows 2 double loose chord at neck of my baby and also told me to count the kick n call me after 10 days.m worried pl tell me baby will be fine or anything wrong

  • Hi mam am 32 weeks pregnant my baby single loop cord around the neck and my placenta is posterior grd1 so normal or cesserion pls tell me

  • now doctor is saying baby’s position is different they cant see the cord around neck in the scan….so is it possible that it is still around the neck????

  • I came to know about cord around neck in my last scan.I became panic then saw this video from which i got confidence for future guidance.

  • I went to ultrasound last Sunday and found out that there is cord wraps around my baby boy’s neck. He is still kicking but less than before. I am a little worried of how to help him.