Elongated umbilical cord with four loops around neck

Rohan Kumar Singh, Gaurav Vedprakash Mishra

PAMJ. 2021; 39:252. Published 19 Aug 2021 | doi:10.11604/pamj.2021.39.252.30349

A 32 years old woman at 37.5 weeks of gestation (G2P1L1A0) visited the antenatal clinic at the hospital with decreased foetal movements. Her second-trimester ultrasound showed mild intrauterine growth retardation. The first baby was normal vaginal delivery with no evidence of a loop of cord around the neck or any entanglements. On Doppler ultrasonography, decreased foetal heart rate was recorded with oligohydramnios and the patient was taken for caesarean delivery. A male neonate weighing 2.3 kgs was born with four loops of umbilical cord around the neck with no knots in the cord. The baby cried immediately after birth with a good tone & activities with a normal Apgar score. On examination, the placenta was normal with no retroplacental clot. The umbilical cord was abnormally long measuring 86 cm with three vessels.
Corresponding author
Rohan Kumar Singh, Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, India (rohan.singh@dmimsu.edu.in)

The Pan African Medical Journal (ISSN: 1937-8688) is a subsidiary of the Pan African Medical Journal. The contents of this journal is intended exclusively for professionals in the medical, paramedical and public health and other health sectors.

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