Will a Nuchal Cord Increase the chance of Stillbirth

 

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Umbilical Cord Wrapped Around The Baby’s Neck The Cause Of A Brain Injury?

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However, most studies find no significantly increased risk of complications with any type of ultrasound-detected nuchal cord. Some research is showing that male fetuses are more likely to develop this condition. Most conclusions agree that there is no increased incidence due to a mother’s age, the baby’s birth weight, or similar factors.

The most common risk from a nuchal cord is decreased heart rate of the baby during delivery. This is usually the result of reduced oxygen and blood flow through the entangled cord during. Healthcare providers can’t determine from an ultrasound if the nuchal cord poses any risk to your baby.

If you’re diagnosed with a nuchal cord early in the pregnancy, it’s important not to panic. According to research from the Stillbirth Collaborative Research Network, umbilical cord accidents account for around 10% of stillbirths. 1  While people often assume that the deaths are caused by accidental strangulation, they are most often the result of a sudden disruption of the blood supply to the baby. It is unclear whether a nuchal cord at birth causes birth asphyxia and raises the risk for developing cerebral palsy of the offspring. AIM: To evaluate the incidence of cerebral palsy in children born with and without nuchal cord.

Nonetheless, some studies did found nuchal cord to be associated with increased perinatal morbidity such as increased risk for caesarian delivery, meconium aspiration and birth asphyxia and low Apgar score at 1 min [ 9, 10 ]. Single or multiple nuchal cords were not associated with an increased risk of stillbirth in this cohort 90. The criteria for considering a cord abnormality to be a cause of death were rigorous in the Stillbirth Collaborative Research Network and included vasa previa, cord entrapment, and evidence of occlusion and fetal hypoxia, prolapse, or stricture with thrombi 69. Nuchal cord may cause the death of your baby. To avoid fetal death through strangling, or other severe cardiac and neurodevelopmental abnormalities that will affect him the rest of his life, pay attention to these nuchal cord indicators. The list is long.

First, note if there is a. Causes of nuchal fold thickening. Most babies with a thickened nuchal fold have no other problems. It can increase the risk of chromosome problems such as Down syndrome or, more rarely, a genetic syndrome. There may be a higher risk of chromosomal problems if you have had abnormal results on an ultrasound or a maternal serum screening.

Further. Nuchal cords occur in about 10–29% of fetuses and the incidence increases with advancing gestation age. Most are not associated with perinatal morbidity and mortality, but a few studies have shown that nuchal cord can affect the outcome of.

List of related literature:

There is no evidence suggesting or not that the presence of cord around the neck increases the risk of FHR abnormalities in women

“Practical Guide to High Risk Pregnancy and Delivery E-Book” by Fernando Arias, Amarnath G Bhide, Arulkumaran S, Kaizad Damania, Shirish N Daftary
from Practical Guide to High Risk Pregnancy and Delivery E-Book
by Fernando Arias, Amarnath G Bhide, et. al.
Elsevier Health Sciences, 2012

A tight nuchal cord can reduce blood volume in a newborn by approximately 20%.

“Comprehensive Neonatal Nursing Care: Fifth Edition” by Carole Kenner, PhD, NNP, FAAN, Judy Wright Lott, DSN, RN, BC-NNP, FAAN
from Comprehensive Neonatal Nursing Care: Fifth Edition
by Carole Kenner, PhD, NNP, FAAN, Judy Wright Lott, DSN, RN, BC-NNP, FAAN
Springer Publishing Company, 2013

First-trimester uterine artery Doppler, coupled with biomarkers such as pregnancyassociated plasma protein A (PAPP-A), can predict an increased risk of FGR, and indirectly the risk of stillbirth, but this needs further evidence before it can be recommended as an effective prevention strategy.

“Oxford Textbook of Obstetrics and Gynaecology” by Sabaratnam Arulkumaran, William Ledger, Stergios Doumouchtsis, Lynette Denny
from Oxford Textbook of Obstetrics and Gynaecology
by Sabaratnam Arulkumaran, William Ledger, et. al.
Oxford University Press, 2019

Nuchal cord × 1 easily reduced.

“Pfenninger and Fowler's Procedures for Primary Care E-Book: Expert Consult” by John L. Pfenninger, Grant C. Fowler
from Pfenninger and Fowler’s Procedures for Primary Care E-Book: Expert Consult
by John L. Pfenninger, Grant C. Fowler
Elsevier Health Sciences, 2010

Finally, placental or cord anomalies, including fetal-maternal hemorrhage, chronic placental insufficiency with fetal distress, placental abruption, true cord knots, and long or short cords may contribute to vascular compromise in the fetus in either the antepartum or intrapartum period (see Box 18-1).

“Klaus and Fanaroff's Care of the High-Risk Neonate E-Book” by Jonathan M Fanaroff, Avroy A. Fanaroff
from Klaus and Fanaroff’s Care of the High-Risk Neonate E-Book
by Jonathan M Fanaroff, Avroy A. Fanaroff
Elsevier Health Sciences, 2012

Risk factors and fetal outcome in cases of shoulder dystocia compared with normal deliveries of a similar birthweight.

“Clinical Maternal-Fetal Medicine” by Hung N. Winn, John C. Hobbins
from Clinical Maternal-Fetal Medicine
by Hung N. Winn, John C. Hobbins
Taylor & Francis, 2000

An increase in the length of the umbilical cord increases the risk of nuchal cord.

“Sonography Exam Review: Physics, Abdomen, Obstetrics and Gynecology E-Book” by Susanna Ovel
from Sonography Exam Review: Physics, Abdomen, Obstetrics and Gynecology E-Book
by Susanna Ovel
Elsevier Health Sciences, 2019

• If a nuchal cord is present, it should be reduced at this time.

“Obstetrics and Gynecology at a Glance” by Errol R. Norwitz, John O. Schorge
from Obstetrics and Gynecology at a Glance
by Errol R. Norwitz, John O. Schorge
Wiley, 2013

Nuchal cord alone was not considered a cause of death.8

“Creasy and Resnik's Maternal-Fetal Medicine: Principles and Practice E-Book” by Robert Resnik, Charles J. Lockwood, Thomas Moore, Michael F Greene, Joshua Copel, Robert M Silver
from Creasy and Resnik’s Maternal-Fetal Medicine: Principles and Practice E-Book
by Robert Resnik, Charles J. Lockwood, et. al.
Elsevier Health Sciences, 2018

However, studies which compared women not treated with AEDs with those treated with AEDs, found that those women treated with AEDs had increased rates of IUGR and in labour induction of labour and PPH, but no differences in miscarriage, operative birth or preterm birth rates.

“Myles' Textbook for Midwives E-Book” by Jayne E. Marshall, Maureen D. Raynor
from Myles’ Textbook for Midwives E-Book
by Jayne E. Marshall, Maureen D. Raynor
Elsevier Health Sciences, 2020

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/
Bibliography: oktay_bibliography

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  • I gave birth to my first child in 1988. I was ready to push and was made to hold her for 45 minutes due to 3 of us delivering and only one dr. When I finally pushed her out she had her cord around her neck and her cord was very short. She was purple. She. Also swallowed amniotic fluid. She was diagnosed with borderline personality disorder. Could this be the cause?