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Related Experiment Videos

Nuchal cord position in breech presentation: case report.

K Shukunami1, F Kotsuji

  • 1Department of Obstetrics and Gynecology, Fukui Medical University, Japan.

The Journal of Maternal-Fetal Medicine
|July 21, 2000
PubMed
Summary

A breech presentation with a nuchal cord, where the umbilical cord encircles the fetal neck, was identified via prenatal ultrasound. This case highlights the clinical significance of nuchal cord in breech presentations.

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Area of Science:

  • Obstetrics and Gynecology
  • Fetal Medicine
  • Perinatal Ultrasound

Background:

  • Nuchal cord, the encirclement of the fetal neck by the umbilical cord, is a recognized phenomenon in obstetrics.
  • Previous classifications exist for nuchal cord presentation, often categorized into distinct types.
  • Breech presentation, a condition where the fetus is positioned feet or buttocks first, can be associated with nuchal cord.

Observation:

  • This report details a specific case of breech presentation complicated by a nuchal cord.
  • Prenatal ultrasound imaging revealed a single nuchal cord.
  • The cord was observed to be inserted into the placenta, situated on the mid-posterior uterine wall, at the level of the fetal neck.

Findings:

  • The case involved a singleton pregnancy with a breech presentation and a nuchal cord.

Related Experiment Videos

  • Ultrasound confirmed the cord's position encircling the fetal neck and its placental insertion site.
  • An elective cesarean section was performed at 37 weeks of gestation due to the presentation and nuchal cord.

    • Implications:

    • The clinical significance of nuchal cord in breech presentations warrants careful consideration during prenatal assessment.
    • Accurate prenatal diagnosis via ultrasound is crucial for managing potential complications associated with nuchal cords in breech fetuses.
    • This case underscores the importance of evaluating nuchal cord position in breech presentations for optimal perinatal management and outcomes.