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Umbilical cord prolapse is when the umbilical cord comes out of the uterus with or before the presenting part of the baby. [2] The concern with cord prolapse is that pressure on the cord from the baby will compromise blood flow to the baby. [2] It usually occurs during labor but can occur anytime after the rupture of membranes. [1] [5]
Intrauterine hypoxia (also known as fetal hypoxia) occurs when the fetus is deprived of an adequate supply of oxygen.It may be due to a variety of reasons such as prolapse or occlusion of the umbilical cord, placental infarction, maternal diabetes (prepregnancy or gestational diabetes) [1] and maternal smoking.
A nuchal cord is when the umbilical cord becomes wrapped around the fetus's neck. [1] Symptoms present in the baby shortly after birth from a prior nuchal cord may include duskiness of face, facial petechia, and bleeding in the whites of the eye. [1] Complications can include meconium, respiratory distress, anemia, and stillbirth. [1]
Vasa praevia is a condition in which fetal blood vessels cross or run near the internal opening of the uterus.These vessels are at risk of rupture when the supporting membranes rupture, as they are unsupported by the umbilical cord or placental tissue.
In velamentous cord insertion, the vessels of the umbilical cord are improperly inserted in the chorioamniotic membrane, and hence the vessels traverse between the amnion and the chorion towards the placenta. [1] [11] Without Wharton's jelly protecting the vessels, the exposed vessels are susceptible to compression and rupture. [1] [9]
Before 24 weeks the fetus is still developing its organs, and the amniotic fluid is important for protecting the fetus against infection, physical impact, and for preventing the umbilical cord from becoming compressed. It also allows for fetal movement and breathing that is necessary for the development of the lungs, chest, and bones. [8]
Several conditions and risk factors can lead to fetal distress or non-reassuring fetal status, [1] including: Low amniotic fluid (oligohydramnios) If there is too little amniotic fluid around the baby in the uterus, the baby can have trouble moving around in the uterus and its growth and temperature can be impacted.
Short umbilical cord [12] Premature rupture of membranes [8] Prolonged rupture of membranes (>24 hours). [11] Thrombophilia [10] Polyhydramnios [8] Multiparity [10] Multiple pregnancy [10] Maternal age: pregnant women who are younger than 20 or older than 35 are at greater risk