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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]
Nuchal cord, when the umbilical cord is (tightly) around the neck of the fetus [2] Entanglement of the cord [2] Knot in the cord [2] Cord prolapse, where the umbilical cord exits the birth canal before the baby, which can cause cord compression. [3] As a complication of oligohydramnios in which there is insufficient amniotic fluid
Screening for Down syndrome by a combination of maternal age and thickness of nuchal translucency in the fetus at 11–14 weeks of gestation was introduced in the 1990s. [7] This method identifies about 75% of affected fetuses while screening about 5% of pregnancies. Natural fetal loss after positive diagnosis at 12 weeks is about 30%. [6]
This is a shortened version of the fifteenth chapter of the ICD-9: Certain Conditions originating in the Perinatal Period. It covers ICD codes 760 to 779 . The full chapter can be found on pages 439 to 453 of Volume 1, which contains all (sub)categories of the ICD-9.
A hyperactive foetus should be evaluated with ultrasound to rule out cord entanglement. Cord entanglement – The umbilical cord can wrap around an extremity, the body or the neck of the foetus. When the cord is wrapped around the neck of the fetus, it is called a nuchal cord. These entanglements can cause constriction of blood flow to the fetus.
Umbilical cord compression can result from, for example, entanglement of the cord, [16] a knot in the cord, [16] or a nuchal cord, [16] (which is the wrapping of the umbilical cord around the fetal neck) [17] but these conditions do not always cause obstruction of fetal circulation. Velamentous cord insertion; Single umbilical artery; Umbilical ...
This then presses onto the spinal cord and brain stem, causing the symptoms Mel had. After she came round Mel asked the doctors what the prognosis was. "I asked them if I'd ever be able to run an ...
[2] [3] The diagnosis should be suspected if there is a sudden decrease in the baby's heart rate during labor. [4] [2] Seeing or feeling the cord confirms the diagnosis. [4] Management focuses on quick delivery, usually by cesarean section. [4] Filling the bladder or pushing up the baby by hand is recommended until this can take place. [4]