NUCHAL CORD

NUCHAL CORD CAUSES, CLASSES, SYMPTOMS AND MANAGEMENT

What is a nuchal cord?

Nuchal cord is the term used by medical professionals when your baby has their umbilical cord wrapped around their neck.An umbilical cord is a lifeline for a baby in the womb. Running from the baby’s abdomen to the placenta, the umbilical cord usually contains three blood vessels and is about 21” long.Which occur during pregnancy, labor, or birth.

The umbilical cord is your baby’s life source. It gives them all the blood, oxygen, and nutrients that they need. Any problem with your baby’s umbilical cord can be very worrying, but the majority of nuchal cords aren’t dangerous in any way.

A nuchal cord is also extremely common, with around 1 in 3 babies being born perfectly healthily with the cord wrapped around their neck.

WHAT ARE THE CAUSE OF NUCHAL CORD ?
Random fetal movement is the primary cause of nuchal cord,other factors that might increase the risk of umbilical cord wrapping around the baby’s neck include an extra long umbilical cord or excess amniotic fluid that allows more of fetal movement,nuchal cord are typically discovered by birth.

Healthy cord are protected by a gelatinous,soft filling called Wharton’s jelly. The jelly is there to keep the cord knot-free so that your baby will be safe no matter how much they wriggle and flip themselves around.

You may also be more likely to get a nuchal cord If:
√ you’re having twins or multiples
√ you have excessive amniotic fluid
√ The core is especially long
√ The structure of the cord is poor.

WHAT ARE THE CLASSES OF NUCHAL CORD?

*First* , based on how many times the cord is wrapped around the fetal neck: single nuchal cord, double nuchal cord, etc.
*Second* , whether it is wrapped loosely or tightly. A “tight” nuchal cord is defined as one that cannot be slipped over the baby’s head during delivery, and may compress the fetal neck.
*Third* , the nuchal cord can be Type A or Type B:

•A Type A nuchal cord is “unlocked.” The umbilical end goes under the placental end, and fetal movement can easily undo it.
•A Type B nuchal cord is “locked.” The placental end of the cord goes under the umbilical end of the cord, potentially leading to another type of umbilical cord complication known as a “true knot.” This will not likely be resolved by fetal movement.

WHAT ARE THE RISK TO MOTHER AND BABY?
Nuchal cord are not thought to pose many risk for mother or the baby with our medical professionals at Adebayo living tower hospital. A nuchal cord may only pose health risk in rare cases. Our Medical professional will likely monitor the baby during it’s delivery if we noticed a nuchal cord in routine ultrasound imaging of the mother’s pregnancy.

WHAT IS THE HEART RATE ABNORMALITIES?
The most common risk from nuchal cord is decrease heart rate of the baby during delivery. This is usually the result of reduced oxygen and blood flow through the entangled cord during contractions.
Even if there is a decrease heart rate,most babies will still be born healthy.

SHOULD I BE WORRIED ABOUT NUCHAL CORD?
If you are diagnose with nuchal cord at Adebayo living tower hospital early in the pregnancy. It is important not to panic our medical professional will unravel cord before birth and your baby will be born safely.

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HOW DO I KNOW IF THE CORD WRAPPED THE NECK?
These are The following sign to know if the cord is wrapped on the neck
•baby suddenly moves forcefully,and then moves considerably less
•Baby is suddenly moving less in the last week of your pregnancy
•Baby heart rate is decelerating during labor
•For visible and quality ultrasound visit or contact us at Adebayo living tower hospital.

*WHEN IS NUCHAL CORD DANGEROUS* ?
If the cord is looped of around the neck or another body, blood flow through the entangled cord maybe decrease during contractions. this can cause the baby heart rate to fall during contractions prior to delivery; if blood flow is completely cut off a stillbirth can occur.

DOES NUCHAL CORD MEANS C-SECTION?
Yes: in the cases where a tight nuchal cord is diagnosed prior delivery, especially if there are accompanying sign of fetal distress our medical professional at Adebayo living tower hospital will order an emergency C-section.not doing would be negligent and improper managed nuchal cord can cause serious harm to the baby.

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CAN NUCHAL CORD CAUSE DEVELOPMENT DELAY ?
Yes: The most common birth injuries associated with nuchal cord include:hypoxia and our medical professional at Adebayo living tower hospital has linked nuchal cord and other umbilical cord complication with birth asphyxia,which can lead to development delay, epilepsy,and other cognitive and physical complications.

HOW DO I MANAGED AND MONITOR NUCHAL CORD?
Currently there’s no way to prevent or treat nuchal cords, our Medical professional at Adebayo living tower hospital may be recommend for Cesarean delivery if we feel that the fetus is in distress or the mothers is health might be adversely affected by Virgina delivery.these cases are rare however.

Most pregnant woman will not need to make preparation if they find their baby has nuchal cord. If there is any concerns visit Adebayo living tower hospital.

Fetal monitoring with our ultrasound at Adebayo living tower hospital can helpful in preventing complications,but these will not change any outcome of or the potential for complication.

OUR DIAGNOSIS ON NUCHAL CORD AT ADEBAYO LIVING TOWER HOSPITAL
A nuchal cord has no physical symptoms unless the fetal has an abnormal heart rate or breathing and oxygen difficulties, a nuchal cord is usually only found during a routine ultrasound scan.

fetal monitoring with our ultrasound at Adebayo living tower hospital can helpful in preventing complications.

 

I.C.T DEPARTMENT
ADEBAYO LIVING TOWER HOSPITAL
ALTH