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Obstet Gynecol. 2008 Aug;112(2 Pt 2):460-1. doi: 10.1097/AOG.0b013e31816fd75c.

Management of nuchal cord with multiple loops.

Author information

1
Department of Obstetrics and Gynecology, University of Montréal, St Justine Hospital, Montréal, Québec, Canada.

Abstract

BACKGROUND:

Nuchal cords are rarely associated with significant neonatal morbidity or mortality.

CASE:

A primigravida with a normal term pregnancy presented for diminished fetal movement. Several nuchal cord loops were found on the ultrasound imaging, with normal Doppler findings. Abnormal fetal heart rate pattern appeared after 6 hours of labor. A cesarean delivery was performed. A healthy baby was born with eight nuchal cord loops.

CONCLUSION:

The management of nuchal cord with a single loop, suspected before delivery, seems clear: it should not influence the clinical management. However, in this case, the previous knowledge of multiple nuchal loops may have influenced our decision to perform a cesarean delivery.

PMID:
18669764
DOI:
10.1097/AOG.0b013e31816fd75c
[Indexed for MEDLINE]

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