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Management of nuchal cord with multiple loops
Yan Wang1, Camille Le Ray, François Audibert
1Department of Obstetrics and Gynecology, University of Montréal, St Justine Hospital, Montréal, Québec, Canada.
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.
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