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Umbilical cord compression

Field	Value
name	Compression of umbilical cord
image	Knotted cord.jpg
caption	A knotted cord on a newborn baby.
field	Obstetrics

Umbilical cord compression is the obstruction of blood flow through the umbilical cord secondary to pressure from an external object or misalignment of the cord itself. Cord compression happens in about one in 10 deliveries.

Causes

Nuchal cord, when the umbilical cord is (tightly) around the neck of the fetus
Entanglement of the cord
Knot in the cord
Cord prolapse, where the umbilical cord exits the birth canal before the baby, which can cause cord compression.
As a complication of oligohydramnios in which there is insufficient amniotic fluid
Compression during uterine contractions in childbirth

Diagnosis

On cardiotocography (CTG), umbilical cord compression can present with variable decelerations in fetal heart rate.

Treatment

Umbilical cord compression may be relieved by the mother switching to another position or through maternal hydration. Secondary treatments include amnioinfusion. In persistent severe signs of fetal distress, Cesarean section may be needed.

References

[http://www.medicinenet.com/script/main/art.asp?articlekey=51734&page=2 Childbirth Complications] at medicinenet.com. Last Editorial Review: 1/30/2005
[http://apps.who.int/classifications/icd10/browse/2010/en#/P02.5 P02.5 Fetus and newborn affected by other compression of umbilical cord] in [[ICD-10]], the International Statistical Classification of Diseases
"How Umbilical Cord Complications Can Endanger A Baby's Life".

Info: Wikipedia Source

This article was imported from Wikipedia and is available under the Creative Commons Attribution-ShareAlike 4.0 License. Content has been adapted to SurfDoc format. Original contributors can be found on the article history page.

human-pregnancy

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