"true knot"

  1. 1 How many times in how many years have you seen a baby with a "true knot" in its umbilical cord? Did it cause any complications during labor/delivery? Did the baby have any complications? Was the knot detected before delivery and if so did they do a c-section based on that alone?
  2. Visit  LouisVRN profile page

    About LouisVRN

    31 Years Old; Joined Mar '10; Posts: 698; Likes: 847.

    26 Comments so far...

  3. Visit  MarBug7 profile page
    1
    Just had a baby and mom in postpartum that had a true knot. Baby and mom were perfectly fine, baby was born vaginally. I did not even realize how rare it was until I researched a little bit!
    elprup likes this.
  4. Visit  Elvish profile page
    0
    I think I've seen maybe two or three. I think all were born vaginally and none detected beforehand.
  5. Visit  patty554 profile page
    0
    My sister had twins doctor said they were miracle babies, both had true knots and both were healthy, hate to think of what could have happened if they did not come 1 week early,,
  6. Visit  nursel56 profile page
    0
    My daughter had a true knot in her cord. It didn't cause any problems during her VBAC delivery. I found out when the doc said "oh look at this!" and held it up to show me. Then I tried to visualize how that occurred.
  7. Visit  prmenrs profile page
    17
    BABIES: do not play jump rope w/your umbilical cord!!!
    BeccaznRN, HyperSaurus, RN, Libitina, and 14 others like this.
  8. Visit  npeters profile page
    0
    My second son had a true knot in his cord. He was born at 29 weeks gestation. I went in to get monitored because I wasn't feeling much movement and sure enough he wasn't doing well in utero. After a couple days of monitoring and shooting me up with steroid shots he was delivered by c-section and the knot was found, he was also wraped 3 1/2 times around the neck and had his arm caught up in the cord. The doctors best guess after delivery was that something was causing him to metabolize the umbilical cord itself and as he moved it pulled tighter and tighter on the knot restricting blood flow to the baby.

    Out of curiosity - why do you ask?
  9. Visit  LouisVRN profile page
    1
    Quote from npeters
    My second son had a true knot in his cord. He was born at 29 weeks gestation. I went in to get monitored because I wasn't feeling much movement and sure enough he wasn't doing well in utero. After a couple days of monitoring and shooting me up with steroid shots he was delivered by c-section and the knot was found, he was also wraped 3 1/2 times around the neck and had his arm caught up in the cord. The doctors best guess after delivery was that something was causing him to metabolize the umbilical cord itself and as he moved it pulled tighter and tighter on the knot restricting blood flow to the baby.

    Out of curiosity - why do you ask?
    I ask because my second son had one. He was delivered at 41 weeks, no problems with the pregnancy, no problems with the delivery, had a normal, unmedicated vaginal delivery, midwife held the placenta up to show me and was like "Look at this" she said she only seen a couple in over 700 deliveries. Talking with some of the nurses I know that work LD some of them had never seen one but they all kind of acted freaked out about the complications that "could" occur. I've always been interested in LD, I think maybe one day I'll end up there, so just wanted to see out of those with more experience how common an occurrence this was and if the "OMG there are tons of risks" is founded in reality or the majority of cases come out perfectly and its just the rare cases that have tragic consequences. Some of my co-workers also said that if its detected prior to labor they will automatically do a c-section. But basically I ask because the rare occurrences in any field are fascinating to me.
    LPN_FTW likes this.
  10. Visit  elprup profile page
    0
    I saw one during nursing school. Obviously I had never seen one before. Baby was born vaginally, mom was over 40 and was diagnosed with preeclampsia when she came into hospital in labor. Both were fine. I actually did a home visit with the family and told them about the true knot. Nobody had told them. He was their true miracle baby. So sweet.
  11. Visit  MomBabyUnitRN profile page
    0
    I remember two I've seen so far.
    The first one, a very cute baby boy born without any problems whatsoever.

    The second wasn't so lucky. His was very tight.

    I was glancing through a nursing book today and there was a picture of a placenta with four different true knots in the cord. AMAZING that the infant survived. It didn't state what the strip looked like.
  12. Visit  Elvish profile page
    0
    I just remembered a mom I took care of who had an IUFD of mono/mono twin girls. Cords all knotted together, which they were certain caused the FD. Mom kept a pic of those cords alongside the pics of her babies, just to remind herself that there was no way on earth she could've caused nor prevented it from happening. That's a bit of a special situation, though, mono/mono twins.
  13. Visit  Nicky30 profile page
    0
    I have only been a midwife for just over 2 years and I have seen one true knot. It was a scheduled section and not known prior to delivery.

    Mum and bubs were fine.

    :redpinkhe
  14. Visit  Jolie profile page
    0
    I've known of 2. The first was my co-worker who suffered a full term fetal demise. The knot was found at delivery.

    The second was a pre-term mom, about 30 weeks who complained to her OB that she wasn't feeling regular movement. He was convinced that she was just being a PIA, but sent her for monitoring, which revealed multiple prolonged decels below 60. No time for steriods, crash C-section and the sickest preemie I ever cared for who survived to discharge. Now close to graduating high school


Nursing Jobs in every specialty and state. Visit today and find your dream job.

Top
close
close