Volume 9, Issue 1 (2024)                   SJMR 2024, 9(1): 29-33 | Back to browse issues page

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Nateghi M R, Minfendereski A. Introduction of a Fetus with Four Turns of the Umbilical Cord around the Neck: A Case Report. SJMR 2024; 9 (1) : 5
URL: http://saremjrm.com/article-1-327-en.html
1- Sarem Gynecology, Obstetrics and Infertility Research Center, Sarem Women’s Hospital, Iran University of Medical Science (IUMS), Tehran, Iran. & Sarem Cell Research Center (SCRC), Sarem Women’s Hospital, Tehran, Iran.
Abstract:   (525 Views)
Introduction: The umbilical cord is often encircled around different parts of the fetus, usually the neck, which is a common phenomenon in the delivery room. These entanglements may form early in pregnancy, although there is no definitive evidence on the exact time of their formation. The aim of this study was to investigate a fetus with four turns of the umbilical cord around the neck as a case report.
Case introduction: The studied patient with G1P1, aged 32 years, referred to Sarem women's hospital due to slowing down of the fetal movements. After performing the NST test and detecting a decrease in the fetal heart rate in the 40th week of pregnancy, the mother was hospitalized for an emergency cesarean section. The baby had four umbilical cords around his neck. The baby's Apgar score was 9/10 and seemed healthy. Finally, the mother and the baby were discharged in perfect health on the date after the conditions were stabilized and there was no complication.
Conclusion: Rotation of the umbilical cord around the neck may be associated with an increased risk of adverse perinatal outcomes. In this study, the infant was born by emergency cesarean section at 40 weeks of gestation due to danger of death following spontaneous delivery. Continuous routine monitoring of laboring patients using cardiotocography can be the best way to achieve a good result.

 
Article number: 5
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Article Type: Case Report | Subject: Pregnancy Care
Received: 2024/05/9 | Accepted: 2024/05/27 | Published: 2024/12/7

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