One of my coleagues had a had a pt deliver by c/s yesterday with a nuchal cord x4! The mom cam in for a labor check, 5cm, ctx q5 min, FHR 165, no accels, decreased variabliity, repetative lates. FP plan with OB consult, get IV access, secure epidural, rupture, internalize, make decision, c/s called after 5 hours of watching same tracing.
None of our staff could remember ever hearing about one like this. Anybody else ever seen/hear about a quadraple nuchal cord?
First day on my unit, 20 years ago, a doc delivered a baby by c-section with a nuchal cord X7 ! He was unwrapped the cord saying, one, two, three, etc. I've never seen anything close since! Thank goodness !!
Specializes in Obstetrics/Case Management/MIS/Quality.
did a section last month where the baby had nuchal cord x 6.....doc said he had never seen anything like it. the baby had a little difficulty transitioning, but turned out ok after a few hours..
Saw one born lady partslly with 6 loops around the neck. As I walked past the Delivery Room, I heard the doc counting, " two, three, four..." so I stuck my head in to see what he was counting. It was loops of cord as he unwrapped them. Baby did great. This was before fetal monitoring, so I don't know what the strip would have shown.
Worst I ever saw was a delivery of undiagnosed monoamniotic twins (before everyone got routine U/S we had more undiagnosed twins). I'd been getting good FHT's, but mom preciped a badly mascerated stillborn. The cord was thin and long. It was tied up in loops of knots. It looked like a ball of yarn that kittens have been playing with. I've never seen anything like it before or since. While trying to figure out what happened (I knew I was listening to the baby, not to mom's heart rate), I realized the uterus was still pretty big and that there was another baby inside. She very shortly delivered a beautiful and healthy second twin. Mom had trouble bonding with the living child. Everything was such a shock that she got stuck in grieving for the dead twin and couldn't warm up to the baby she did have for quite some time.
Peg..beautiful story..what a great son you have raised too!
I had one last week, a repeat section with no problems or variables on the strip (no contractions either) have a nuchal x 2 and 3 true knots!! The mom said the baby was extremely active from the start..a real "flipper". Good thing she didnt try a VBAC..
tinyscrafts
148 Posts
why section a woman with an already dead baby? that seems a shame. Was it her free choice?