36 weeks umbilical cord around the neck 2 weeks how to correct

Written by Zhang Lu
Obstetrics
Updated on November 12, 2024
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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 Zhang Lu
Obstetrics
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What to do when the umbilical cord is wrapped around the neck at 39 weeks of pregnancy?

At 39 weeks of pregnancy, it is full-term and nearing the expected delivery date. During this period, if the umbilical cord is found to be wrapped around the neck, it is a normal occurrence and there is no need for excessive worry. Umbilical cord wrapping around the neck is a normal variation that does not affect fetal growth and development, nor does it cause fetal hypoxia, and it also does not affect the method of childbirth. Therefore, for a 39-week pregnancy with the umbilical cord wrapped around the neck there is no difference from a normal pregnancy. Just follow the normal procedures for routine prenatal checks and waiting for childbirth. If there are no signs of labor, then continue to wait until after week 40 to go to the hospital for childbirth. However, if there are signs of labor, you should go to the hospital in time, wait for childbirth, and pay attention to enhanced monitoring during the process. There is no need to intervene with the umbilical cord being wrapped around the neck, nor is there any way to proactively intervene with it.

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Written by Du Rui Xia
Obstetrics
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Can I walk for an hour after meals if the umbilical cord is wrapped around the neck?

In cases where there is umbilical cord entanglement around the neck, as long as the baby's fetal heart rate and fetal movement checks are normal, the mother can normally go for a walk after meals. This condition will not affect the fetus. It is important to regularly visit the hospital for fetal heart monitoring and prenatal examinations, pay attention to observing changes in fetal movement inside the womb, and avoid doing overly heavy or intense exercises. If any abnormalities in fetal movement or heart rate are observed, it is necessary to go to the hospital for examination. When needed, oxygen intake and treatments to preserve the pregnancy might be required.

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Written by Du Rui Xia
Obstetrics
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What will the fetal movement be like if the umbilical cord is wrapped around the neck?

Generally, when the umbilical cord is wrapped around the neck, it often does not affect the fetal movement or fetal heart rate changes. It is quite common for the cord to be wrapped around once, and if the wrapping is loose and does not affect the blood supply from the placenta, fetal movement will not change. However, if the cord is tightly wrapped multiple times, it can affect the blood supply of the umbilical cord and impact the fetal blood circulation, leading to frequent fetal movements. Therefore, pregnant women should learn to count fetal movements themselves to understand if the fetus is experiencing hypoxia in the womb.

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Written by Du Rui Xia
Obstetrics
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The difference between a V-type and U-type nuchal cord.

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 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.