What to do if the umbilical cord is around the neck for one week at 36 weeks of pregnancy

During the pregnancy process, pregnant women have to face many problems. For example, the umbilical cord around the neck is a common situation in obstetric clinics. Especially if the umbilical cord is wrapped around the neck at 36 weeks, the consequences may be quite serious and may even cause deformities in the baby. So, what should you do if the umbilical cord is wrapped around the neck at 36 weeks of pregnancy? Let’s take a look at the detailed solution below.

1. Routine monitoring

The monitoring of umbilical cord around the neck is consistent with normal pregnancy monitoring and there is no need to cause excessive panic. Pregnant women also need regular prenatal checkups and learn to count fetal movements. If the fetal movements are too many or too few, they should go to the hospital for examination in time. It is not recommended for pregnant women to listen to the fetal heart rate routinely, because the normal or abnormal variations of the fetal heart rate need to be analyzed by professionals. Self-listening to the fetal heart rate often causes too many misunderstandings, psychological anxiety and unnecessary interventions.

2. Delivery method

Umbilical cord around the neck is not an indication for cesarean section. Because the incidence of umbilical cord around the neck is very high, it does not mean it is a pathological condition. Strengthening monitoring during labor will not increase the incidence of fetal/neonatal morbidity with umbilical cord around the neck.

Before delivery, B-ultrasound can be used to check whether there are umbilical cord pressure marks on the fetal body to confirm the diagnosis and check whether entanglement affects the health of the fetus. Fetal electronic monitoring can be used to observe changes in fetal heart rate. If there is irregular deceleration of the fetal heart rate or the variation is too large, it should be considered that the umbilical cord is being pulled or squeezed. The treatment of umbilical cord entanglement is mainly determined by the progress of labor and the degree of impact of the entanglement on the fetus. If the fetus shows signs of hypoxia at the beginning of labor, a cesarean section should be performed immediately. If abnormalities are discovered during the second stage of labor, the fetus should be delivered quickly. If the umbilical cord is found to be too tightly wrapped during delivery, it should be clamped and cut immediately.

3. Other progress

The resistance index of the middle cerebral artery (MCA) and umbilical artery (UA) in fetuses with umbilical cord around the neck in late pregnancy is better than its resistance index in measuring intrauterine hypoxia in fetuses with umbilical cord around the neck. It can detect intrauterine hypoxia in fetuses with umbilical cord around the neck early and make a diagnosis before fetal distress occurs, which has important clinical value.

The above is an introduction to what to do if the umbilical cord is wrapped around the neck at 36 weeks of pregnancy. I hope it will be helpful for pregnant women. If the umbilical cord is wrapped around the neck at 36 weeks of pregnancy, the family should pay attention to it, actively cooperate with the doctor for diagnosis and treatment, conduct prenatal examinations at appropriate times, take effective measures to solve the problem, and strive to get rid of this disease as soon as possible.