The difference between a V-type and U-type nuchal cord.

Written by Du Rui Xia
Obstetrics
Updated on January 13, 2025
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When umbilical cord entanglement occurs, ultrasound examination may reveal a U-shaped or V-shaped entanglement. The V-shape and U-shape both indicate that the umbilical cord is wrapped around the neck once. In such cases, there is no need for excessive anxiety. Sometimes the cord may unwind by itself as the fetal position changes, loosening or alleviating the entanglement. It is important to regularly visit the hospital for prenatal check-ups, rest adequately, enhance nutrition, and adopt a left lateral position to improve placental blood supply.

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Written by Du Rui Xia
Obstetrics
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Will there be changes in the fetal heart rate if the umbilical cord is wrapped around the neck?

When the umbilical cord is wrapped around the neck, there are some situations where changes in the fetal heart rate may occur. The umbilical cord is mostly wrapped around the neck just once, which generally does not affect the growth and development of the fetus, nor does it significantly change the fetal heart rate. The impact on the fetal heart rate in the case of nuchal cord depends on how tight the cord is wrapped around the neck, the number of loops, and the length of the umbilical cord, among other factors. If the umbilical cord is tightly wrapped and has multiple loops, or if it is compressed due to contractions of the uterus, it can obstruct fetal blood circulation and lead to hypoxia in the fetus, thereby affecting the fetal heart rate.

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Written by Zhang Lu
Obstetrics
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What to do if the umbilical cord is wrapped around the neck once in late pregnancy?

During the late stages of pregnancy, a B-ultrasound might sometimes reveal that the fetus has the umbilical cord wrapped around its neck once. This condition is a physiological occurrence. Having the cord wrapped once around the neck does not cause intrauterine hypoxia or harm the growth and development of the fetus inside the womb. The vast majority of cases where the cord is wrapped are physiological, and whether the cord is wrapped around once or twice, there is no need for excessive worry. In the late stages of pregnancy, the most important thing when the cord is found wrapped around the neck is to monitor fetal movements. As long as the fetal movements are good, it indicates that the fetus is in a normal condition inside the womb. It is also important to keep up with regular prenatal check-ups to assess whether the fetal growth and development are normal. Additionally, it is not advised to take any action to intervene when the cord is wrapped around the neck, as neither adopting sleeping positions nor any other methods can release the cord from the neck. These methods are futile and sometimes might even harm the fetus.

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Written by Zhao Su Min
Obstetrics
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How to correct the umbilical cord wrapped around the neck once?

The umbilical cord is wrapped around the neck once, and there is no way to correct it; it cannot be rectified by changing position or through medication. The umbilical cord being wrapped around the neck once can be due to the umbilical cord being relatively long, or the fetus having a large range of movement within the womb. During pregnancy, as the fetal movements change, it might wrap around twice or even three times, although it's also possible that there will be no wrapping of the umbilical cord around the neck by the end. There is no need to panic if the umbilical cord is wrapped around the neck once. Pay attention to fetal movements and attend regular prenatal check-ups. If there is an increase or decrease in fetal movements, it is important to visit the hospital promptly to have an ultrasound, listen to the fetal heartbeat, and check for any signs of fetal hypoxia. If fetal hypoxia is present, oxygen therapy should be administered, and pregnancy termination may be necessary if required.

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Written by Du Rui Xia
Obstetrics
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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
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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.