Can you have a vaginal birth if the umbilical cord is wrapped around the neck once?

Written by Zhang Lu

Obstetrics

Updated on September 11, 2024

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Umbilical cord wrapping is a common physiological phenomenon during pregnancy, mainly because the length of the umbilical cord during pregnancy generally ranges from 30cm to 80cm, which far exceeds the length needed for fetal growth and development. Therefore, occurrences like the umbilical cord wrapping around the neck or limbs are quite normal. An umbilical cord around the neck is not an indication for cesarean section, and a vaginal delivery is entirely feasible, even if the cord wraps around the neck once or even twice. However, due to the special circumstance of the umbilical cord being wrapped around the neck, it is crucial to pay attention during the delivery process. First, it is important to monitor the fetal heart rate closely, as umbilical cord wrapping can lead to fetal hypoxia, which would be indicated by changes in the fetal heart rate. Second, preparations for an emergency cesarean section should be in place in case of an abnormal fetal heart rate, at which point a cesarean may be necessary to terminate the pregnancy.

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Written by Du Rui Xia

Obstetrics

49sec

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Does the baby not move much when the umbilical cord is wrapped around the neck and there is not much amniotic fluid for one week?

When umbilical cord wrapping around the neck occurs during pregnancy, it generally does not affect the fetal limb movement. However, a decrease in amniotic fluid can affect the baby's movements. When amniotic fluid decreases, the baby has less room to move inside the uterus, thus causing reduced fetal movements. It is recommended to regularly visit the hospital for prenatal check-ups. If a reduction in amniotic fluid occurs, it is important to promptly identify the reason and then proceed with appropriate treatment. Regular monitoring of fetal movement changes is advised, and fetal heart monitoring can be done to assess the safety of the fetus. Drinking more water to replenish amniotic fluid is also advisable.

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Written by Du Rui Xia

Obstetrics

1min

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How long should I wait before rechecking the ultrasound if the umbilical cord is around the neck?

When there is an occurrence of umbilical cord around the neck, it is generally recommended to have an ultrasound examination once every one to two weeks. Umbilical cord around the neck is a relatively common phenomenon during pregnancy, mostly due to the umbilical cord being too long, frequent fetal movements, and an excessive amount of amniotic fluid. These factors can cause the umbilical cord to wrap around the fetus's neck, and it may also wrap around the fetus's abdomen or limbs. Therefore, when umbilical cord entanglement occurs, it is important to enhance prenatal check-ups to regularly monitor changes in fetal heart rate and fetal movement. Additionally, towards the late stages of pregnancy, the appropriate method of delivery should be selected based on the specific circumstances of the umbilical cord entanglement.

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Written by Zhang Lu

Obstetrics

1min 2sec

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Is it dangerous for the umbilical cord to be wrapped around the neck during the mid-stage of pregnancy?

During a mid-pregnancy ultrasound, it is sometimes indicated by the presence of a U-shaped or W-shaped notch behind the fetus's neck that the fetus may have the umbilical cord wrapped around its neck. During pregnancy, it is perfectly normal for the umbilical cord to wrap around the neck, and it generally does not affect the fetus or pose any danger. The length of the umbilical cord during pregnancy is approximately 30 to 80 centimeters, which is quite long relative to the size of the uterine cavity. Hence, many umbilical cords have excess length that can wrap around the neck or limbs of the fetus, leading to the umbilical cord being coiled around the neck or limbs. However, current research indicates that whether the umbilical cord is wrapped around the neck or limbs once or twice, it does not affect the fetus. It does not cause intrauterine hypoxia or affect the growth and development of the fetus, nor does it influence the mode of delivery. A natural childbirth can still be an entirely viable option.

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Written by Zhang Yin Xing

Obstetrics

58sec

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Is moxibustion useful for breech presentation and nuchal cord?

Fetal breech presentation and nuchal cord can be effectively addressed with moxibustion. Breech positions are common in early pregnancy but typically resolve to a head-first position by 32 weeks and become relatively stable. Higher incidences of breech positions are noted in cases of fetal abnormalities, twin pregnancies, abnormal amounts of amniotic fluid, uterine abnormalities, and narrow pelvis. If a breech position is still present after 32 weeks, moxibustion treatment can be considered. Moxibustion is applied at the Zhiyin acupoint (located 0.1 inches beside the nail corner on the outer side of the little toe) and is generally recommended once daily for 15 to 30 minutes, with one week constituting a treatment course. Afterward, the improvement in the fetal position can be evaluated. The purpose of using moxibustion is to promote fetal activity, which may help resolve nuchal cord entanglement during fetal movements.

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Written by Zhang Yin Xing

Obstetrics

1min

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What should I do if the umbilical cord is wrapped around the neck once?

Umbilical cord wrapping around the neck once is a very common phenomenon, occurring in 20% of fetuses. When the umbilical cord wraps around the neck once, if the umbilical blood flow and fetal movements are normal, it indicates that the cord wrapping does not affect the fetus and will not have a direct impact on the fetus's intrauterine growth and development. However, during childbirth, attention must be paid to the possibility that the umbilical cord wrapping may cause difficulties in the descent of the presenting part of the fetus, leading to abnormal umbilical blood flow. If difficulties in the descent of the presenting part and changes in the fetal heart rate occur during delivery, the possibility of umbilical cord wrapping should be considered. If necessary, a cesarean section should be performed to terminate the pregnancy. There are no medications or other treatments that can alleviate umbilical cord wrapping; instead, enhanced prenatal monitoring is sufficient.