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Pregnancy fact or fiction: Umbilical cords
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When I was pregnant with my first child, I had a lot of fears. Some of them were totally unsubstantiated, but all of them were most likely the product of going through a life-altering experience with no real rules or know-how. And of course there were the hormones. My main fear, or at least one of my favorites, was that the baby's umbilical cord would get wrapped around his neck and strangle him.
I used to stop and think, after feeling that fear, that it was ridiculous to be afraid of something so unlikely to happen. Still, the rumor mill persisted on how such a thing could happen. Living in New York, I took the subway all the time. I read somewhere that reaching above your head, and specifically that holding on to a subway bar (instead of sitting down) would cause the umbilical cord casualty. Then, I had my son and everything was ok.
However, it turns out, I know a relatively high number of women whose children were born with their umbilical cords wrapped around their necks. All the children and mothers were thankfully totally fine, but it still scared the bejesus out of me to even think about it. Now I am pregnant again, and those old fears are back. I checked out Dr. Spock, who helped my mom bring me into and up in this world, to see what the real deal with umbilical cords is.
According to Elisa Ross, MD (with revisions by Marjorie Greenfield, MD, whatever that means), it is a very likely situation! There's not a lot of room in the womb, and between the baby, the umbilical cord and everything else in there, it's not surprising to find all those parts pretzeled around each other.
Dr. Ross reminds us, however, that the mother is doing the breathing for both herself and the baby. She also notes that the umbilical cord is designed to stretch when pulled. Most of the time, everything is fine after the doctor takes a little extra time to unwind the cord.
While this made me feel better, what I read after scared me even more. In very rare instances, the umbilical cord can precede the baby into the vagina or birth canal, which is cause for serious concern and usually ends in delivery via Caesarean. Another dreadful possibility is a knotted cord (now that I've read this I won't sleep until my child is born). Generally the knotting occurs at delivery or only looks like a knot but is actually curvature. Knotting has been attributed to some stillborn births but there is really no proof to support this (at least according to Dr. Spock's experts).
As with most complications, the ones mentioned above are thankfully rare. And, sadly enough, we have little control over whether or not they occur. Certainly standing on the subway and holding on to the overhead bar is not going to cause such a problem. And, that sort of makes me feel a little better about the whole thing, somehow.
Do you know someone whose child was born with the umbilical cord wrapped around the neck? Did you ever hear any crazy stories about what could cause such a thing--other than old Mother Nature?
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ReaderComments (Page 1 of 2)
6-05-2008 @ 5:23PM
KMH said...This happened to me with my third child. Luckily, he is okay.
A month before he was due, he was not moving around like he usually did. I tried to get him moving all day, but he was sluggish. I finally called my doctor at 10 p.m. on a Saturday night. She told me that she trusted my instincts and recommended I go to the hospital to do some stress tests on the baby. I drove over and went with only a fluff magazine, thinking I was just being dramatic.
After a series of borderline tests and a meeting with the OB on staff, I was surprised when my OB walked through the door. She said I was having the baby in the next 30 minutes and I should call my husband and family. Talk about shock. She said the baby looked fine right now, but we needed to get him out ASAP.
In a hushed surgery room 30 minutes later, my son was born. The nurses during the surgery were obviously nervous and thought something horrible could happen. My son had 3 knots in his cord and it was wrapped around his neck two times. He had been struggling in utero, but once he was out, he was fine. It was really an amazing call by my doctor.
The other OBs on staff and the nurses later came to visit me and see the "miracle baby". They told me that because of my instincts and my doctor's diligence, my son made it.
I've told all of my pregnant friends this story not to scare them, but to encourage them to trust their instincts. I have a healthy little boy because I knew something was wrong.
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6-05-2008 @ 5:35PM
Christine said...Ok, you just freaked me the heck out. Not nice. :-(
6-05-2008 @ 3:59PM
ame s said...DD10's cord was tucked under her chin & cutting off her blood supply when I tried to push, so we were pushed to the OR at a flat-out run for a c-section. Doc made the incision right as we realized my epidural had failed. Now THAT is a story I do tell expectant moms, and advise they give themselves a huge pinch before a c-section to make sure that epidural took, because that is a pain one never forgets.
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6-05-2008 @ 4:22PM
Momma said...This is how my cousins 2nd child died in utero.
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6-05-2008 @ 4:26PM
pbhj said...My niece Maggie died the same way quite close to full term.
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6-05-2008 @ 4:52PM
Angela said...Both of my babies was born with a cord around their necks. Ashton's cord was wrapped twice and not sure about Ella but Ella's heart stopped or wasn't breathing so that was a scary moment. Both kids are fine, thankfully but it was really scary. I was just really lucky to have experienced midwives and a oncall pediatrician team for Ella. It does happen to pretty almost anyone I know including myself. Unfortunately, some doesn't end up a success story but that is a low percentage of total births and I agree with one of the poster, trust your instincts. Go to the doctor anytime you have a funny feeling.
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6-06-2008 @ 9:36AM
emjaybee said...Like all things in life, birth has risks; however, a wrapped cord is actually a lower risk than a knotted one (rare!) as it was pointed out, the child is not using its lungs until after birth. Lots of healthy babies come out with a cord around the neck; a skilled midwife or OB will also know how to "somersault" them as they exit to unwrap the cord, if necessary.
Having a cord that's previous (ahead of the child) is more of a risk because it could both keep the child from being born and cut off blood supply. However, good midwives and OBs are skilled at spotting these incidents.
It helps to remember that life is full of risks for your child after they are born, too--that's what makes being a parent hard. Worrying about birth problems is no different than worrying about your child having an accident of any kind, and that's a worry you learn to live with as a mom, as much as you can.
And remember that *most* kids do just fine at birth, and after. Try not to focus on unlikely outcomes.
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6-05-2008 @ 5:50PM
bradleymom said...My daughter had the cord wrapped around her neck twice. The doc sounded a little panicky when he told me to stop pushing but I did Bradley so, no meds, no problem.. .just take a break....he flipped the cord loops over her head and she came out just fine. She came about 5 weeks early but I was a pre-eclamptic mess so I think it was the PIH not the cord that got my labor moving....
The important thing to remember is the cord is not floppy like after the baby is born, it is generally stiff and flexy like a new garden hose because of the large full blood vessels pumping from the placenta, so it can do some wrapping late term and not cause damage.
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7-02-2008 @ 2:08PM
Brandy said...My son was born with a knot in his cord. He was fine, but pretty scary to know that it could have caused him to be stillborn.
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6-06-2008 @ 12:19AM
Mamacita said...SI! Yes!! My dear friend Blanca just lost her baby girl 2 weeks before her due date! Her cord had wrapped around her neck & she stopped moving, but when Blanca went to the hospital, it was too late they said & they induced labor & she was stillborn!! Aye! Pobrecita Nina! Dios Mio! Pobre Blanca!! (My God! Poor Baby! Poor Blanca!)
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6-06-2008 @ 3:15AM
luckysdaisy said...my 3rd childs cord was wrapped around his neck and my doctor just unwrapped inbetween contractions after his head came out. i know that it happens and the outcome can be really bad, but also know that it happens and things are still okay. i barely had time to know what was going on before i had to push again. and the doctor told me afterwards. i am truly sorry to those who have lost precious babies this way, but want other mothers to know that it doesn't always have a bad outcome (or a scary one).
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6-06-2008 @ 6:30AM
Khristian said...My daughter passed away from an umbilical cord accident. Her umbilical cord was wrapped around her neck twice and it ended up strangling her. I was 7 months pregnant. I also work in L&D and it referred to as a nuchal cord, a lot of infants are born with a nuchal. They are all usually easily reduced and cause no significant problems.
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7-09-2008 @ 11:17AM
Samantha said...I told my doctor my baby was very active moveing for up to 5 hours! When I lay on my left side I get rapid rabbit like kick, only on my left side. My doctor told me he has has alot of cases when the baby moves alot because she is being strangled or the cords around her neck! I asked the doctor when my second sonogram is and he said, "I dont get one because I have medicade." Im almost 7months pregnant and I cry every day thinking of the possiblity that could be going on inside me and happening and there's nothing I can do. I know it cant be healthy to stress sooooo hard!!!! Plus I don't have the money for a second sonogram I dont work!
7-09-2008 @ 11:17AM
Samantha said...I told my doctor my baby was very active moveing for up to 5 hours! When I lay on my left side I get rapid rabbit like kick, only on my left side. My doctor told me he has has alot of cases when the baby moves alot because she is being strangled or the cords around her neck! I asked the doctor when my second sonogram is and he said, "I dont get one because I have medicade." Im almost 7months pregnant and I cry every day thinking of the possiblity that could be going on inside me and happening and there's nothing I can do. I know it cant be healthy to stress sooooo hard!!!! Plus I don't have the money for a second sonogram I dont work!
6-06-2008 @ 7:41AM
J Jordan said...emjaybee--I think that is SAGE advice! Hard not to worry, but best to not do so if at all possible!
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6-06-2008 @ 8:33AM
tana said...my son's umbilical cord was wrapped about his neck in such a way that every contraction caused his heartbeat to almost disappear from the monitor. we didn't understand why his heart had stopped functioning normally until after an emergency section. thankfully, once he was out, his heart picked right back up and he's a marvelous, healthy little boy.
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6-06-2008 @ 9:23AM
momma bear said...PLEASE bank your child's umbilical cords at a public cord bank. This is what the American Academy of Pediatricians is recommending. I just attended a function where the head of research for the Leukemia and Lymphoma Society spoke about the latest advances. Parents, this is it! Stem cells from your own child's cord could save many, many lives!
Thank you from a family with 3 blood cancer victims/survivors.
Interested in supporting the LLS? Join "Team in Training"- run, bike, hike, sail, triathalons, walk. Or participate in "Light the Night" events by you. Thanks.
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6-06-2008 @ 12:40PM
Steph said...I had the cord wrapped around my neck-they gave my Mom drugs and kicked my Dad out of the room,preparing to do an emergency C-section. Last minute it came untangled and I was born vaginally, no problems. My second son was born with the cord wrapped around him but it didn't cause problems. It was actually a bigger deal that some meconium came out before he was born and it had to be cleaned off him so he could breathe better. My fourth child was born with a knot in the cord, no problems.
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6-11-2008 @ 12:28AM
LDW said...I had a perfect pregnancy and perfect labor until out of nowhere it went so bad so quickly. My sons heartrate dropped incredibly fast and I was rushed into emergency surgery to get him out. When they got him out, the cord was wrapped around him three times. Once around his neck, once around his arm and once around one leg...It was wrapped so many times and stretched so much that it was determined that the major vessel that supplies the baby with blood was damaged. He died about 20 minutes after he was born. He just didn't have enough blood in his little body to sustain him. I am absolutely heartbroken. I'm afraid to try again.
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6-12-2008 @ 2:20AM
Jen said...My daughter dies 2 weeks before her due date in April this year due to cord being wrapped around her neck twice. I did not feel her move for half a day, went to the hospital to get checked. She had no heartbeat. There was nothing anyone could do to save here. I am heartbroken. It was my first and the last as I cannot have any more children.
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