The insufficiency in data regarding the role of nuchal cord
in foetal morbidity and mortality is a source of anxiety and frustration to both parturient and healthcare professionals.
Elective ceaserian section cause an additional morbidity and does not justify in case of nuchal cord
as outcome is almost same in both condition.
He said: "Double nuchal cord
round the neck of a baby can be very serious and, once this was discovered, doctors should have taken a closer look.
Other problems that are not affected by nuchal cords
are congenital defects, breathing problems, Jaundice, infection, and low blood sugar.
It is often assumed that nuchal cord
causes cord compression and thus low birth weight and intrapartum complications.
This study investigated whether abdominal birth improves the outcome in patients with nuchal cord
The covariates we tested were maternal age (years), weight gain during pregnancy (kilograms), tobacco use, preeclampsia, diabetes, parity, induction of labor with artificial rupture of membranes as sole method, induction with gel, oxytocin use, intrauterine pressure catheter use, artificial amniotomy, meconium-stained amniotic fluid, dystocia, first stage length, second stage length, mode of delivery (spontaneous vertex, vaginal breech, midforceps, outlet forceps, vacuum assisted), analgesia used during the first or second stage (nalbuphine, PCB, epidural, caudal, pudendal, local), nuchal cord
, knotted cord, specialty of delivering physician (obstetrician or family physician), and infant weight (grams) and sex.
Jauniaux (3) were more concerned of low apgaar score, in first and second stage of labour umbilical artery compression leading to umbilical artery acidemia (4, 5, 6,) and they confirm that nuchal cord
is a potent factor for abnormal parameter during labour from normal to cesarean section, but none of them co-relate with working ANC and Non-working ANC's association of cord round the neck.
The difference is likely due to a greater incidence of nuchal cord
knots at higher AFI levels (Am.
Much like a hangman's noose, the nuchal cord
is often blamed for problems that are encountered during delivery and is often cited as a major cause of fetal distress and perinatal mortality.
6 cases of long cord had absent foetal heart beats, 5 were due to cord prolapse and 1 case was due to nuchal cord
. Incidence of all cord complications increased as cord length increased, cord entanglement being most common (Table VIII).