What to do if the umbilical cord is around the neck for two weeks at 36 weeks

As the fetus grows and develops in the mother's abdomen, some abnormalities may occur. Some conditions are mild, while others are serious, such as the umbilical cord around the neck, especially in the late pregnancy. When the umbilical cord is wrapped around the fetus and coiled tightly, the baby looks for a comfortable position and moves left and right, expectant mothers are more worried. What should I do if the umbilical cord of a 36-week fetus is wrapped around the neck for two weeks?

The umbilical cord of a 36-week fetus has been around the neck for two weeks. If the fetal heartbeat is normal, the baby's fetal movement is normal, and there is no abnormality in fetal heart monitoring, no special treatment is required. Umbilical cord around the neck of a fetus is very common in clinical medicine and generally poses no risk to the fetus. Umbilical cord around the neck accounts for about 20% of the number of pregnant women giving birth, which is mainly related to the umbilical cord being too long, the fetus being small, too much amniotic fluid, and frequent fetal movements. Whether the umbilical cord around the neck will affect the fetus is related to the tightness of the umbilical cord, the number of weeks the umbilical cord is wrapped around and the length of the fetal umbilical cord. If the fetal movement is normal and there is no abnormality in the fetal heart rate monitoring, simple umbilical cord around the neck does not require special treatment and will not affect natural delivery.

If before and after delivery, there is a decrease in fetal movement or frequent fetal movement, and fetal heart rate monitoring shows regular genetic deceleration or terminal deceleration, and it cannot be relieved by oxygen administration or change of posture, the pregnancy should be terminated immediately. During delivery, the fetal heartbeat should be monitored more frequently, and if fetal distress occurs, it should be dealt with in time.

The harm of umbilical cord around the neck of a 36-week fetus

Umbilical cord around the neck of the fetus is a high-risk pregnancy, which can cause fetal distress at any time and place. If the umbilical cord of the fetus has several entanglements in the late pregnancy, it is very dangerous for the fetus. Tight entanglements can affect the flow of umbilical cord blood, thereby affecting the metabolism of oxygen and carbon dioxide in the fetus, causing the fetus to have a slow heart rate. In severe cases, the fetus may suffer from insufficient oxygen and even fetal death.

Through B-ultrasound examination, you can see whether the fetus has the umbilical cord around the neck before delivery. Sometimes you can hear a more obvious umbilical cord murmur in the abdomen. Therefore, at this time, it is more necessary to listen to the fetal heart rate frequently and pay attention to the baby's fetal movement so as to take timely and effective measures.

Generally speaking, when the baby has the umbilical cord around the neck, it can be handled by itself and there is no need to worry too much. However, if it is found to be serious during B-ultrasound, we should seek medical treatment immediately.