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Re: Double nuchal cord on ultrasoundFrom: ainsron (ainsron@sbcglobal.net)Tue Jun 8 10:37:54 2004
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. Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Richard Chudacoff, MD Sent: Tuesday, June 08, 2004 6:53 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Double nuchal cord on ultrasound Ask the patient. Offer a primary C-section or attempt a vaginal delivery. If there are abnormalities on the FHR tracing in labor, then cut. Richard Chudacoff, MD Beer is living proof that God loves us and wants us to be happy. Benjamin Franklin Heaven grant that the burden you carry may have as easy an exit as it had an entrance. [Prayer To A Pregnant Woman] -Desiderius Erasmus Para one @ 36 weeks has an ultrasound - all parameters normal vertex, was breech previously. Has a double nuchal cord on ultrasound. Now what? Robert Modugno MD MBA FACOG Marietta, GA http://www.novaobgyn.yourmd.com
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