How to correct nuchal cord with one loop?

Written by Liu Wen Li
Obstetrics
Updated on September 09, 2024
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Nuchal cord occurs because the fetus moves frequently within the uterine cavity, which can result in the umbilical cord looping around the neck once, referred to as a single-loop nuchal cord. In fact, it is not correctable because it is impossible to physically reach the umbilical cord or the fetus during pregnancy. Moreover, a single-loop nuchal cord is quite common, occurring in about one-fifth of all pregnancies. If the loop is loose or the umbilical cord is sufficiently long, there is generally no significant impact on the baby. However, if the loop is tight, it can pull on the umbilical cord, causing the blood vessels within the cord to narrow. This may lead to noticeable changes in fetal movements and heart rate. Therefore, with a nuchal cord, it is important to enhance monitoring and pay attention to changes in fetal movements and heart rate.

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Written by Du Rui Xia
Obstetrics
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Does umbilical cord around the neck require a B-ultrasound recheck?

When there is a situation of umbilical cord around the neck, pregnant women need to regularly visit the hospital for an ultrasound checkup to understand the condition of the umbilical cord entanglement, mainly to monitor the umbilical blood flow. If there is an increase in umbilical blood flow, it indicates that the cord entanglement is tight, which can affect the baby's safety, potentially leading to lack of oxygen or suffocation. Therefore, in the late stages of pregnancy, it is also necessary to go to the hospital every 3-7 days for fetal heart monitoring to check if there is any lack of oxygen in the fetus while inside the womb. If there is fetal hypoxia in the late stages of pregnancy, it is advisable to terminate the pregnancy in a timely manner.

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Written by Zhang Lu
Obstetrics
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36 weeks umbilical cord around the neck 2 weeks how to correct

At 36 weeks of pregnancy, which is approximately 9 months, it is close to full-term gestation. If an ultrasound reveals that the umbilical cord is wrapped around the neck twice, it often indicates the presence of a W-shaped notch behind the neck. Having the umbilical cord wrapped around the neck twice is a normal physiological occurrence and does not affect the growth and development of the fetus. Many pregnant women, upon hearing about the umbilical cord around the neck, fear it might affect fetal growth and development or cause ischemia or hypoxia, and thus want to correct it through various methods. Firstly, it is unnecessary to correct the umbilical cord around the neck as it is a physiological change. Secondly, there is no known method to correct this condition; neither dietary activities nor any other methods can intervene with the umbilical cord being wrapped around the neck. Therefore, there is no need, nor is there a way, to intervene with the umbilical cord wrapping; it is sufficient to simply observe and wait.

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Written by Du Rui Xia
Obstetrics
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Can you exercise with the umbilical cord around the neck?

When a nuchal cord occurs, one should not have too much psychological burden, as it is a fairly common situation. The prognosis should be determined based on the specific circumstances of the nuchal cord, including the number of loops and the tightness of the loops. If the cord wraps around once or if there is a loose knot, appropriate activities can be undertaken. However, if the wrapping is tight, or if there are multiple loops, one should regularly visit the hospital for prenatal check-ups to understand the safety of the fetus in the womb. In such cases, it is necessary to reduce activities to avoid increasing the risk of nuchal cord complications, which could cause fetal hypoxia or even suffocation.

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Written by Du Rui Xia
Obstetrics
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Umbilical cord around the neck ultrasound manifestations

The impact of umbilical cord entanglement on the fetus is quite significant. If the entanglement is excessive and tight, it can lead to fetal hypoxia. Generally, fetuses with the umbilical cord wrapped around the neck once or draped on the neck do not show clinical symptoms. However, if the entanglement is tight, it can jeopardize fetal health. During an ultrasound examination, echoes can be seen on the fetus's neck where the umbilical cord is wrapped, and distinct pressure marks may appear on the skin. A single wrap around the neck appears as a U-shape, two wraps appear as a W-shape, and three wraps as a serrated shape.

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Written by Liu Wen Li
Obstetrics
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Can you have a natural birth if the umbilical cord is wrapped around the neck twice?

The umbilical cord wrapped around the neck twice is something that can definitely be attempted, meaning a trial of natural delivery, or vaginal trial. Clinically, there have been many cases where the umbilical cord was wrapped around the neck twice, and the baby was delivered smoothly. Therefore, it's unnecessary to avoid a trial of delivery and opt for cesarean section just because the umbilical cord is wrapped around twice; that would be somewhat excessive. Of course, when the cord is wrapped around the neck twice, since the wrap is relatively tight, the remaining length of the cord might be short, and when the baby's head moves downward, there could be changes in the fetal heart rate, but not necessarily in all cases. Therefore, for pregnant women with the umbilical cord wrapped around the neck twice, doctors will closely monitor changes in the fetal heart rate during the delivery process.