True Umbilical Cord Knot in a Primigravida

Umbilical cord knots occur in 1-2% of all deliveries can lead to increase fetal death and asphyxia. A thorough examination is important discern abnormalities. Although there are not set guidelines for diagnosing managing umbilical knots; reporting with complications will aid decision making better future patient management. We describe one such case a primigravida who was found have an knot.