True umbilical cord knot and tight nuchal cord loops as a cause of fetal distress and emergent cesarean delivery: A Case report

doi:10.38207/jmcrcs/2021/0218250

Abstract

Highlights

The umbilical cord (UC) is the anatomic tubular structure that physically connects the developing intrauterine fetus to the placenta, which is anchored to the maternal uterine wall [1]
We report a very uncommon case of triple nuchal cord (NC) coexisting with a True knots (TK) of the umbilical cord in a 23‐year‐old primigravida, who was admitted at 40 weeks gestation, with labor pains, with a normal sonographic examination and cardiotocography profile at the beginning of labor
We describe a case of acute intrapartum fetal hypoxia, with the extraction of the fetus by an emergency c‐section and finding of a true umbilical cord knot and three tight nuchal cord loops around the fetal neck

Summary

Introduction

The umbilical cord (UC) is the anatomic tubular structure that physically connects the developing intrauterine fetus to the placenta, which is anchored to the maternal uterine wall [1]. The reported incidence of true umbilical cord knots (CK) is 1.2 % for all pregnancies [6]. The patient was 25 years old primigravida (G1P0) She has admitted at 40 weeks of pregnancy with labor pains. The growth scan performed at the time of hospitalization, showed normal growth of the fetus with a normal volume of amniotic fluid, with a grade three maturity placenta inserted on the anterior uterine wall Her antenatal blood workup and ultrasound were within normal limits. Examination of the placenta showed an excessively long umbilical cord measuring 124 cm with one loose true knot.

Discussion

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