What should be done if the fetal umbilical cord is wrapped around the neck twice?

Jul 16, 2024 Source: Cainiu Health
Disease description:

My wife is pregnant, and she went to the hospital for an examination yesterday. The result showed that the fetus has the umbilical cord wrapped around the neck twice. What should we do for a case of the umbilical cord wrapped around the neck twice?

Doctor's answer (1)
Dr. Zhao Xiaodong
Fetal nuchal cord (two loops around the neck) is a common phenomenon during pregnancy and generally does not cause serious problems for the fetus. However, appropriate monitoring and management are still necessary. The following are recommendations: 1. Monitor fetal movement closely: Pregnant women can monitor fetal condition by regularly recording fetal activity. If irregular or significantly decreased fetal movement is noticed, medical evaluation should be sought promptly. In addition, pregnant women should maintain a calm mindset and avoid excessive anxiety. 2. Engage in appropriate exercise and maintain a regular routine: Choose gentle forms of exercise based on individual condition, such as walking or prenatal exercises, which may help improve the situation of fetal nuchal cord. Maintaining a regular sleep-wake cycle and ensuring adequate rest are also beneficial to the healthy development of the fetus. 3. Attend regular prenatal checkups: Pregnant women should follow the doctor's advice and undergo routine prenatal examinations. Ultrasound and other diagnostic methods can be used to assess the status of the nuchal cord and fetal heart rate monitoring. If any abnormalities are detected, consult the doctor promptly and take appropriate actions. 4. Adjust sleeping position: Under a doctor's guidance, pregnant women may adopt a left-side lying position during sleep, which can help improve oxygen supply to the fetus and reduce potential risks associated with nuchal cord. If you have any concerns, please consult your healthcare provider.