Nuchal cord and its implications

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Nuchal cord and its implications

Nuchal cord occurs when the umbilical cord becomes wrapped around the fetal neck 360 degrees. Nuchal cords occur in about 10-29% of fetuses and the incidence increases with advancing gestation age. Most are not associated with perinatal morbidity and mortality, but a few studies have shown that nuchal cord can affect the outcome of delivery with possible long-term effects on the infants. Nuchal...

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Obstetricians and Gynaecologists’ Views on Nuchal Cord

Objectives: To explore the view of Hong Kong obstetrics and gynaecology specialists on the impact of nuchal cord on fetal outcome, mode of delivery, and its management. Methods: A questionnaire was mailed to all registered Hong Kong specialists in obstetrics and gynaecology (n=381) in July 2012 with a prepaid return envelope. Results: The overall response rate was 50.7%. About one-third and one...

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Management of the Nuchal Cord at Birth

Background and aim: Although nuchal cord is a common occurrence at birth, there is little attention to its importance or management at birth, and teaching includes premature clamping and cutting of the cord as the common option.  Although grade 1 evidence is lacking, the optimal management of the nuchal cord,  the Somersault manoeuvre  is not taught or included in any current guidelines. What e...

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Nuchal cord management and nurse-midwifery practice.

Nuchal cord, or cord around the neck of an infant at birth, is a common finding that has implications for labor, management at birth, and subsequent neonatal status. A nuchal cord occurs in 20% to 30% of births. All obstetric providers need to learn management techniques to handle the birth of an infant with a nuchal cord. Management of a nuchal cord can vary from clamping the cord immediately ...

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Tight nuchal cord and neonatal hypovolaemic shock.

Two neonates who went into acute hypovolaemic shock due to a tight nuchal cord were successfully resuscitated. The occurrence of this life threatening complication in two low risk pregnancies emphasises the importance of having staff trained in resuscitation immediately available in the delivery unit.

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ژورنال

عنوان ژورنال: Maternal Health, Neonatology and Perinatology

سال: 2017

ISSN: 2054-958X

DOI: 10.1186/s40748-017-0068-7