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The umbilical cord It is a tube about 55 cm long that connects the baby with the placenta. Due to its length and the movements made by the fetus inside the uterus it's normal that she can make out with him.
Normally during pregnancy, the umbilical cord coils and uncoils regularly and is not a problem for either the mother or the baby. Only if the moment of delivery has arrived, the cord remains coiled around baby's neck there may be problems.
We tell you the causes of the return of the umbilical cord at the birth of the baby.
Statistics have revealed that the reasons why the umbilical cord wraps around the baby are a longer-than-usual cord and more amniotic fluid than normal and therefore more space available for movement. An estimated 30-40 percent of babies present with a cord wrap at the time of delivery.
To check, before Baby's birth an ultrasound or ultrasound doppler is performed. However, this test usually gives a large percentage of false positives and negatives, since the baby is moving inside the uterus until the moment of birth. The umbilical cord can be wound anywhere on the body, especially in the neck, arms, legs or trunk of the fetus. Although the loop of the cord remains until the moment of delivery, sometimes, with some gesture of the baby, the cord unwinds.
Normally, it does not cause any problem for the woman to deliver her baby vaginally and it is not usually necessary to perform a Caesarean section. The technique used so that the baby can be born vaginally is based on putting the finger between the neck and the cord to undo the circular while the child comes out.
When the umbilical cord is too short and tightly wrapped around the baby's neck, it is necessary to take precautions, but the way of action is practically the same: it consists of releasing the cord loop at the moment of delivery. If the cord is so short that this cannot be done, the cord can always be clamped and cut before the baby is finished.
When the cord loop it is so tight that it presses on the carotid arteries or the baby comes with several turns of the cord could cause fetal distress in the baby. In this case, the mother will be monitored to control the baby's status and heart rate at all times, and it will be assessed whether the baby can be delivered vaginally or a cesarean section should be used.
It is called circular cord to the loops that the umbilical cord can make around the neck or any other part of the baby's body. In reality, this problem is very frequent and does not usually lead to any complications, while the baby remains in the mother's womb, since the umbilical cord is covered by a gelatinous substance, Warton's jelly, which has the function of dampen any compression and thus avoid interruption of the blood circulation between mother and baby. By means of this jelly, the cord becomes a slippery conduit that can be easily slid over the baby's body.
This condition prevents the baby from choking on its own umbilical cord due, firstly, to the fact that the baby does not breathe inside the uterus, but receives oxygen through the mother's blood and, secondly, to the gelatinous substance that covers it.
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