For pregnant expectant mothers, in the late pregnancy, one of the most afraid things is that the baby's umbilical cord around the neck, the baby's umbilical cord around the neck can easily lead to fetal malformation, brain hypoxia, so how to do umbilical cord around the neck? What are the reasons for umbilical cord around the neck?
What is umbilical cord around the neck
Umbilical cord entanglement is one of the most important types of umbilical cord abnormalities, especially in the neck of fetus. There is another kind of incomplete around the neck, known as the umbilical cord around the neck. The second is winding the trunk and limbs, which is often referred to as umbilical cord around the neck or umbilical cord around the neck. The incidence of umbilical cord around the neck of fetus was 20% - 25%, of which the incidence of umbilical cord around the neck for one week was 89%, and the incidence of umbilical cord around the neck for two weeks was 11%. Umbilical cord around the neck for three weeks or more was rare, and umbilical cord around the trunk and limbs of fetus was rare.
How does umbilical cord encircle neck do
1. Learn how to count fetal movements. If there are too many or too few fetal movements, you should go to the hospital for examination in time;
2. If there is too much or too little amniotic fluid or fetal position is not correct, prenatal examination should be done well;
3. Indirect methods such as fetal heart rate monitoring and ultrasound examination were used to determine the condition of umbilical cord;
4. When the umbilical cord around the neck is found, cesarean section is not necessary. Only when the fetal head does not drop or the fetal heart rate is obviously abnormal (fetal distress), can the operation be considered;
5. What we should pay attention to is to reduce the vibration and keep the left side of sleep;
6. You can use the home fetal heart rate meter (Doppler fetal heart rate meter) twice a day at home, check the fetal condition regularly, and see a doctor in time if you find any problems.
Causes of umbilical cord around neck
Umbilical cord around the neck is a common situation in fetal delivery, which is generally considered to be related to the long umbilical cord and fetal movement. The fetus will often move in the mother's womb, and roll around in the womb where the space is not very large, and the characteristics of each fetus are different. Some fetuses move gently, some fetuses have a large range of movements, especially like sports. They will move in the womb, play games, move their arms, stretch their legs, and turn a circle. At this time, umbilical cord entanglement may occur.
Can the umbilical cord around the neck be delivered naturally
Ultrasound has become an important means of prenatal examination, ultrasound can see whether the fetus has umbilical cord around the neck, how many times and tightness. On the longitudinal section of the fetal head and neck, there are 'V' shaped indentations at the rear of the fetal neck, which means that the umbilical cord is around the neck for one week, 'W' shaped indentations, which means that the umbilical cord is around the neck for two weeks, and wavy indentations, which means that the umbilical cord is around the neck for more than two weeks. Umbilical cord is elastic, and the length of its blood vessels is longer than that of umbilical cord. The blood vessels are spirally coiled and have great extensibility. After the umbilical cord around the neck, as long as the umbilical cord is pulled apart, the blood flow of the umbilical cord will not be affected. Most fetuses do not show any abnormalities, so there is no need to panic when the umbilical cord around the neck. However, if the umbilical cord around the neck is too tight, it can make the umbilical vascular compression, lead to blood circulation obstruction or fetal jugular vein compression, make the fetal brain ischemia, hypoxia, resulting in intrauterine distress and even stillbirth. If the umbilical cord around the neck is found in late pregnancy, pregnant women should reduce activities, pay attention to rest, learn to count fetal movements, when fetal movements are too much or too little, they should go to the hospital for examination in time. Umbilical cord around the neck accounted for about 20% of the total number of deliveries
1. Because of the winding of the umbilical cord, the umbilical cord becomes relatively short, which affects the fetal presentation into the basin, and can prolong or stop the labor process.
2. When the umbilical cord is wrapped too many weeks, too tight or contractions, the umbilical cord is pulled, which can block the fetal blood circulation and lead to fetal intrauterine hypoxia. Therefore, the umbilical cord around the neck delivery should pay attention to: around the neck for more than 3 weeks, the best line of cesarean section. Close observation of the labor process, such as slow progress or stagnation should be decisive decision-making. Close monitoring of fetal heart rate, in case of fetal distress should immediately terminate delivery, vaginal delivery or cesarean section.