Umbilical cord problems can be extremely scary to a pregnant woman. According to Dr. Jason H. Collins at The Pregnancy Institute, umbilical cord accidents leading to stillbirth occur in 1.5 of every 1000 births. An otherwise healthy fetus may suddenly develop a problem with the umbilical cord that needs to be carefully watched to make sure it doesn’t develop into an umbilical cord accident.
Umbilical Cord Knots
One problem seen with umbilical cords is an umbilical cord knot. These happen in early pregnancy when the fetus has lots of room to move around in the amniotic sac. Sometimes, the baby will move through a loop in the cord and accidentally pull on it and create a knot.
While there is nothing that can be done to prevent or fix an umbilical cord knot, doctors will often monitor the situation to determine if the knot tightens. In that case, early delivery may be recommended if the baby is found to be not getting enough nutrients or seems to be suffering from fetal distress. If the knot stays loose, it is not considered dangerous for the baby.
If there are signs of distress during labor, such as blood flow to the baby slowing down or the fetal heartbeat becoming abnormal due to the umbilical cord knot tightening, the doctor may perform a C-section or may monitor the baby carefully to see if the situation improves.
The Nuchal Cord- An Umbilical Cord Around the Neck
Sometimes the umbilical cord can get wrapped around the baby's neck in utero. This is called a nuchal cord or nuchal loop. This is one of the most common umbilical cord problems in late pregnancy, occurring in about 25% of all births, according to the March of Dimes. A nuchal cord can lead to stillbirth if the doctor or midwife is not aware of the issue before labor begins.
Fortunately, with modern ultrasound technology and fetal monitoring, doctors and midwives can see if the umbilical cord is wrapped around the neck ahead of time and can prepare for it.
The solution is often a simple one. The doctor simply slips a finger between the cord and the neck during birth in order to prevent the newborn baby from being strangled and then untangles the cord and slips it over the baby's head once the head is out of the birth canal.
A nuchal cord wrapped around other parts of the baby, such as the hand or foot, generally don't cause any problems, either prenatally or during birth.
Umbilical Cord Knots and Wrapping in Early Pregnancy
In early pregnancy, these issues are unlikely to be a problem. Umbilical cord twisting and wrapping is a common occurrence in early pregnancy, since the fetus is so small that it easily moves around in the womb. Any knots or wrapping at this point are likely to resolve themselves as the baby moves around and unwraps itself.
If the doctor detects low levels of fluid in the amniotic sac, this could indicate a higher likelihood of developing potential umbilical cord problems, since less fluid gives the baby less room to untangle from any knots or loops that might have formed. Proper hydration helps keep fluid levels high, so drinking lots of water is the only real prevention for this kind of problem.
Overall, fetal umbilical cord problems are not something for a pregnant woman to worry too much about unless her doctor is concerned. Umbilical cord accidents are rare and as long as proper prenatal care is given, doctors can intervene in any potential umbilical cord problems during labor.
For information on other possible umbilical cord problems, check out these articles:
Umbilical Cord Length Problems – Describes problems occurring when the umbilical cord is too short or too long.
Single Umbilical Artery – An article describing what happens when a fetus has only two umbilical blood vessels instead of the usual three.
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