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Share Circular cord, what happens if the cord is entangled in the neck of the baby?

Lola Rovati @Lolarovati

The return or circular cord is one of the major concerns about delivery, because as usual, it is scary that it can choke the baby, but the truth is that it is quite frequent and usually resolved without major complications.

Between 20 and 40 percent of children are born with laces of cord and most of the time does not represent any risk to the baby, there are even babies who come with two, three or four laps, depending on the length of the cord (the average is 55 cm.). But what happens if the cord is entangled in the baby's neck?

The baby moves inside the mother's belly so the cord is rolled and unrolled around her body, arm, leg or neck, but this does not cause any discomfort in the baby during pregnancy. Only occasionally can it be seen by ultrasound, which is why it is usually detected only at the moment of delivery.

In labor, the doctor can see the return (or turns) of the cord when the head of the baby appears, which is solved with a very simple maneuver : placing the finger between the neck and the cord to undo the circular while the child leaves . The cord is gelatinous and slides easily. If it was not so easy because it was somewhat tight, the cord is clipped and cut while the baby is coming out.

In the event that the cord is very tight and that when descending through the birth canal will be tense by decreasing blood flow, the baby will be monitored at all times by monitor to detect any signs of fetal distress.

In case of alterations in the cardiac rhythm, a cesarean section will be considered, but as we said before, in more than 90% of the cases, the circular cord in the neck of the baby is solved without major complications.

What is uncertain about the return of the cord is that it can become the justification for a cesarean section if the baby does not lower or shows alterations in the heart rhythm, when in fact what causes the fetal distress is not the compression of the cord itself, but another reason.

Photo | Jake & Brady on Flickr CC in Babies and more | The return of umbilical cord in the neck of the fetus and Complications of the umbilical cord in pregnancy