Abstract
SummaryEighty-seven singleton pregnancies with true knots in the umbilical cord were studied, together with a control group. Associated factors were multiparity (62 versus 46 per cent), long cords (7 versus 2 per cent) and the presence of nuchal cords (48 versus 26 per cent). The total incidence of umbilical cord knots was 0–68 per cent of deliveries.Umbilical cord knots were not found to be associated with fetal distress in terms of Apgar scores, or umbilical cord blood analysis. Fetal heart tracings were comparable in both the study group and the control group. Perinatal mortality and neonatal morbidity were also similar in the two groups.In general true knots in the umbilical cord do not have significant repercussions on fetal wellbeing.
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