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Combined simple and complex cord knots

R N Roberts1

  • 1Glasgow Royal Maternity Hospital, Rottenrow, Scotland.

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|September 1, 1995
PubMed
Summary
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This case report details a rare instance of combined double true knots and complex knots of the umbilical cord. Despite the rare complication, a healthy infant was delivered with no signs of fetal distress.

Area of Science:

  • Obstetrics and Gynecology
  • Perinatology
  • Fetal Medicine

Background:

  • Umbilical cord knots, particularly double true knots and complex knots, are infrequent obstetric occurrences.
  • Understanding the mechanisms and potential consequences of umbilical cord abnormalities is crucial for perinatal care.

Observation:

  • This report describes a unique case combining both double true knots and complex knots of the umbilical cord.
  • During labor, early decelerations were noted, but there was no sustained evidence of fetal compromise.

Findings:

  • A healthy female infant was successfully delivered via mid-cavity forceps due to poor maternal effort.
  • The case highlights that even with combined complex umbilical cord knots, favorable outcomes are possible.

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Implications:

  • This case contributes to the literature on rare umbilical cord pathologies.
  • It underscores the importance of vigilant fetal monitoring during labor, even in the presence of rare cord anomalies.