title: Management of nuchal cord with multiple loops.
abstract: BACKGROUND
  Nuchal cords are rarely associated with significant neonatal morbidity or mortality.
  
  
  METHODS
  A primigravida with a normal term pregnancy presented for diminished fetal movement. Several nuchal cord loops were found on the ultrasound imaging, with normal Doppler findings. Abnormal fetal heart rate pattern appeared after 6 hours of labor. A cesarean delivery was performed. A healthy baby was born with eight nuchal cord loops.
  
  
  CONCLUSIONS
  The management of nuchal cord with a single loop, suspected before delivery, seems clear: it should not influence the clinical management. However, in this case, the previous knowledge of multiple nuchal loops may have influenced our decision to perform a cesarean delivery.
authors.affiliation: Department of Obstetrics and Gynecology, University of Montréal, St Justine Hospital, Montréal, Québec, Canada.
authors.forename: Yan
authors.initials: Y
authors.lastname: Wang
authors.forename: Camille
authors.initials: C
authors.lastname: Le Ray
authors.forename: François
authors.initials: F
authors.lastname: Audibert
authors.forename: Marie-Soleil
authors.initials: MS
authors.lastname: Wagner
mesh_terms: D002585:Cesarean Section; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D053589:Nuchal Cord / Q000000981:diagnostic imaging* / Q000601:surgery; D011247:Pregnancy; D018608:Ultrasonography, Doppler