Re: Cord Around Neck
From: Abdel-Maguid Ramzy HOTMAIL (ramzyam@hotmail.com)
Fri Jun 20 02:14:00 2008
Dear Corina
You are right, but only if you are talking about the "true" knots of the cord along its length (away from the neck), just as when you tie a rope around itself. This definitely causes changes in the foetal heart rate and only (rarely) if tight enough may kill the baby. But this has nothing to do with a cord being looped around the neck of the of the baby which may be complete as in a complete loop around the neck or incomplete like when you place a scarf on your neck. Both as I mentioned both will not kill the baby. True knots are rare, spontaneously occurring, more in long cords (more than 50 cm.) and are discovered only accidentally.
I hope now dear Corina that I am of some help.
All the best
Abdel-Maguid Ramzy
> ----- Original Message -----
From: Corina Dinescu
To: vikas@gnfc.in ; ramzyam@hotmail.com
Sent: Friday, June 20, 2008 8:55 AM
Subject: RE: Cord Around Neck
Dear Vikas
I am very sorry about losing your baby. Let me tell you this: the doctors should have monitored at least baby heart if not performing an ultrasound.
The cord around the neck can be a threat while baby is inside the womb by cutting off baby's food,oxigen supply. The risc is increased at the time of delivery but again the doctors should at least monitor baby's heart. I agree it is called 'gross negligence' of doctors.
I live in America and while an ultrasound is not performed at the time of delivery at least they monitor baby's heart for signs of distress.
So dear sir Ramzy , let's all do our job so we can start with right foot in the world not the wrong one.
Corina D.
> Date: Thu, 19 Jun 2008 13:42:58 -0500
> From: ramzyam@hotmail.com
> To: ultrasound@mail.obgyn.net
> Subject: Re: Cord Around Neck
>
> Dear Vikas
> There is no way that cord around the neck (CAN) can kill a baby in the
> uterus. Not even during vaginal delivery except if it is a double loop
> around the neck and the doctor (very unlikely) did not take appropriate
> measures to untie the loops before the baby takes his first breath. In this
> case the cord becomes too short that the head remains high and cannot be
> delivered except by CS. Of course if the baby is delivered by CS the issue
> of CAN is of no importance and easy to deal with. So Vikas there must be
> another cause of regrettable death of your baby. And yes a skilful
> ultrasonographer , even in B&W 2 dimensional USG, the condition can be
> diagnosed but only if carefully looked for. By using vessel colouring USG
> (Doppler), CAN can be easily diagnosed.
> All the best
> Abdel-Maguid Ramzy
> Prof. of OB. GYN., Cairo Univ.
> Secr. General ESMANEH-Egypt
> Vice president IAMANEH-Geneva
> 20 Batal Ahmad Abdel-Aziz,
> Mohandessien, Giza, 12411
> EGYPT
> Tel: +(202) 3337 5870
> Mobile:+(2012) 213 7741
>
> > ----- Original Message -----
> From: "Vikas Mehta" <vikas@gnfc.in>
> To: "Multiple recipients of list ULTRASOUND" <ultrasound@mail.obgyn.net>
> Sent: Thursday, June 19, 2008 10:06 AM
> Subject: Cord Around Neck
>
> >
> > -----Original Message-----
> > From: Vikas Mehta [mailto:vikas@gnfc.in]
> > Sent: Thursday, June 19, 2008 12:17 PM
> > To: ultrasound@obgyn.net
> > Cc: nilamohile@hotmail.com
> > Subject: Cord Around Neck
> >
> > Dear Sir/Madam,
> >
> > I have lost my new born male baby due to negligence of doctors. They are
> > saying that the death occured due to cord around the neck. They didn't
> > perform any USG of the patient saying patient is alright and there is no
> > need of Ultrasound.
> >
> > In this context I want to ask the following questions:
> >
> > 1. Should USG be done during eighth or nineth month of delivery period to
> > know the exact position of Baby? Is there any ill or bad effect of USG on
> > mother and fetal.
> >
> > 2. When there is cord around neck, can a good USG detect the same?
> >
> > 3. Can it is detected from outside by mere physical checkup by doctor that
> > there is cord around the neck of the fetal?
> >
> > 4. When there is cord around the neck of the fetal and it is detected in
> > time whether by doing cesarian section the life of baby can be saved?
> >
> > Please give me answers of the above questions on the same e-mail address.
> > I
> > will be highly obliged by the favour.
> >
> > Thanks & Regards,
> >
> > Vikas Mehta
> > Mobile: 09829874422
> >
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