Why does sudden umbilical cord around the neck occur at 39 weeks of pregnancy?
Generally, sudden umbilical cord entanglement around the neck at 39 weeks of pregnancy may be caused by factors such as frequent fetal movement, excessively long umbilical cord, polyhydramnios (excessive amniotic fluid), overly vigorous fetal activity, or abnormal intrauterine environment. The details are as follows:
1. Frequent fetal movement: In late pregnancy, frequent fetal movements may lead to the umbilical cord wrapping around the fetus's neck during movement. Since the space for free movement within the uterus is limited, umbilical cord entanglement around the neck is relatively common.
2. Excessively long umbilical cord: An abnormally long umbilical cord can contribute to cord entanglement. A longer cord allows greater freedom of movement for the fetus within the uterus, increasing the likelihood of the cord wrapping around the neck.
3. Polyhydramnios: Excessive amniotic fluid is a condition that may occur in late pregnancy. It increases the fetus’s range of motion within the amniotic fluid, thereby raising the risk of umbilical cord entanglement.
4. Overly vigorous fetal movement: Some fetuses exhibit particularly strong movements inside the uterus, which may result in the umbilical cord wrapping around the fetal body. While fetal movement is normal, excessively intense activity can lead to cord entanglement.
5. Uterine fibroids: Uterine fibroids may cause irregular uterine contractions, thereby increasing the risk of umbilical cord entanglement.
Pregnant women are advised to attend regular prenatal checkups to avoid delayed diagnosis and treatment, preventing adverse outcomes.