Re: Double nuchal cord on ultrasound

From: DoctorJoe@aol.com
Tue Jun 8 10:48:29 2004


In a message dated 6/8/04 10:38:54, ainsron@sbcglobal.net writes:

> Wait a minute.  "Ask the Patient?" We are supposed to be the professionals.
> I would tell the patient that a double nuchal cord was found, tell her that
> many babies are born with nuchal cords and even true knots without any
> problems, but let her know that it could cause problems during or before
> labor if it were to tighten -which is not predictable and not a high
> percentage.  I would tell her to watch fetal movement consistently and
> report to L&D if any acute changes - increased or decreased.  I would offer
> NST 2x wkly until delivered.  If there are severe variables in labor,
> deliver by C/S.  If she strongly requested a C/S I would most likely agree
> to it, but not without a couple of weeks of negotiation and discussion.
>

Been there, done that, and agree.

Joe P.





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