Management of nuchal cord with multiple loops.
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.
Wang
Yan
Y
Department of Obstetrics and Gynecology, University of Montréal, St Justine Hospital, Montréal, Québec, Canada.
Le Ray
Camille
C
Audibert
François
F
Wagner
Marie-Soleil
MS
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