Scribd Logo
Upload

Welcome to Scribd!

  • 54 views

    Nuchal Cord

    Uploaded by

    Guan-Ying Wu
    A nuchal cord is when the umbilical cord loops around the fetal neck. It is a common finding at delivery and usually does not cause problems. However, in some cases a tight nuchal cord has been associated with adverse outcomes like fetal asphyxia or demise. Nuchal cords can be single or multiple, loose or tight. The occurrence seems random but risk may increase with excessive fetal movement or a long umbilical cord. The incidence increases with gestational age and single cords are more common than multiple. Nuchal cords also occur more often in white people and for male infants.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Nuchal Cord

    Uploaded by

    Guan-Ying Wu
    54 views7 pages
    A nuchal cord is when the umbilical cord loops around the fetal neck. It is a common finding at delivery and usually does not cause problems. However, in some cases a tight nuchal cord has been associated with adverse outcomes like fetal asphyxia or demise. Nuchal cords can be single or multiple, loose or tight. The occurrence seems random but risk may increase with excessive fetal movement or a long umbilical cord. The incidence increases with gestational age and single cords are more common than multiple. Nuchal cords also occur more often in white people and for male infants.

    Original Description:

    Nuchal Cord

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    A nuchal cord is when the umbilical cord loops around the fetal neck. It is a common finding at delivery and usually does not cause problems. However, in some cases a tight nuchal cord has been associated with adverse outcomes like fetal asphyxia or demise. Nuchal cords can be single or multiple, loose or tight. The occurrence seems random but risk may increase with excessive fetal movement or a long umbilical cord. The incidence increases with gestational age and single cords are more common than multiple. Nuchal cords also occur more often in white people and for male infants.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    54 views7 pages

    Nuchal Cord

    Uploaded by

    Guan-Ying Wu
    A nuchal cord is when the umbilical cord loops around the fetal neck. It is a common finding at delivery and usually does not cause problems. However, in some cases a tight nuchal cord has been associated with adverse outcomes like fetal asphyxia or demise. Nuchal cords can be single or multiple, loose or tight. The occurrence seems random but risk may increase with excessive fetal movement or a long umbilical cord. The incidence increases with gestational age and single cords are more common than multiple. Nuchal cords also occur more often in white people and for male infants.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 7

    Nuchal Cord

    Outline
    Introduction
    • A loop of umbilical cord around the fetal neck (nuchal cord) is a
    common finding at delivery.

    • Doesn’t increase the rate of any clinically important outcome in most


    case
    • In some cases, tight nuchal cords were associated with adverse outcomes,
    including fetal asphyxia and demise
    • Causality often cannot be proven
    Classification
    • Single or multiple
    • Loose or tight (ie, compressing the fetal neck)
    • Type A or B

    can become undone can form a true knot when it passes


    with fetal movement caudally over the fetal body
    Pathogenesis
    • The occurrence of a nuchal cord appears to be a random event
    • Increased risk among fetuses with excessive movement and/or a long
    umbilical cord (≥70 cm in length)

    Natsuko Kobayashi et al., Obstetrics and Gynecology International, 2015


    Incidence
    • The incidence increases with increasing gestational age

    Janet D. Larson et al., AMERICAN JOURNAL OF PERINATOLOGY, 1997


    Incidence
    • Single nuchal cords are more common than multiple nuchal cords
    • More frequent in whites and in deliveries of male infants

    Janet D. Larson et al., AMERICAN JOURNAL OF PERINATOLOGY, 1995

    You might also like