Edited and updated: July 2014 To get this blog going I decided to write about a slight obsession of mine: The fear of, and routine midwifery management
of nuchal cords at birth (umbilical cord around the neck).
The study notes that in 30 of the 289 cases
of nuchal cord babies, labor ended in C - section.
Not exact matches
While it's true that this is a common occurrence (present in 20 percent to 30 percent
of births), the
nuchal cord rarely impedes baby's descent or delivery, according to research in the Journal
of Midwifery and Reproductive Health.
What, EXACTLY is the biological mechanism whereby fear and tension causes any
of the following: Retained placenta Massive PPH
Cord prolapse Shoulder dystocia Nuchal cord 4th degree tear Meconium aspiration Chorioamnion
Cord prolapse Shoulder dystocia
Nuchal cord 4th degree tear Meconium aspiration Chorioamnion
cord 4th degree tear Meconium aspiration Chorioamnionitis
How to manually assist the delivery
of the baby including
nuchal cord,
nuchal arm, shoulder dystocia, unusual presentation, and perineal support.
While the mother was reveling in her freedom to labor in her own home, her baby was being ravaged by group B strep, AND asphyxiating because
of a tight
nuchal cord.
Baby is born around shortly after 1:00 but doesn't come out
of the water until 1:35, due to a
nuchal cord....
During every one
of my pregnancies I've learned many new words and terms that I didn't even know existed before we started having children... Words like placenta previa,
nuchal cord, VBAC and HBAC (and lots
of others).
This may occur when the fetus is deprived
of oxygen by getting stuck in the birth canal, when the baby is not delivered within 24 hours
of the mother's water breaking, or when the umbilical
cord becomes wrapped around the baby's neck (known as
nuchal cord).
According to the American Academy
of Pediatrics (AAP) and the American College
of Obstetrics and Gynecology (ACOG), common indications or symptoms
of prenatal asphyxia that physicians need to watch for include an unstable, erratic, or falling fetal heart rate, lack
of movement by the fetus, pressure on the umbilical
cord,
nuchal cord (the wrapping
of the
cord around the fetus's neck), complications with the placenta, low maternal blood pressure, and pallor or difficulty breathing in the mother.
If, for example, an obstetrician fails to timely order or perform a C - section when
nuchal cord is detected and this failure is found to have been a cause
of the baby's HIE childbirth injury, the obstetrician may be found liable for the damages suffered by the child as a result
of the injury in an action for medical malpractice.
Such injuries may be due to medical negligence through the failure to recognize and timely respond to
nuchal cord (the wrapping
of the umbilical
cord around the baby's head), breech presentation, or problems with the mother's placenta, to name just a few.
Birth traumas occur during the process
of childbirth through, for example, the compression or prolapse
of the umbilical
cord,
nuchal cord, or the pressure on a fetus's head or other parts
of the body as the fetus passes through the birth canal.