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Re: nuchal cordsFrom: Allen Worrall (jworrall@alaska.net)Tue Jan 15 18:01:28 2002
Yes, Art, that is very true. If the sonographer and sonologist report every nuchal cord, at any time in pregnancy, then the ob provider is under the gun. Any subsequent bad outcome that might happen in that pregnancy, regardless of etiology, may be blamed on the ob provider because he or she did not "do something" about the cord, or because the ob provider did not plan to do a C Section because a loop of cord was reported around the neck at 18 weeks or 20 weeks. There is no question it is a problem. I report only those cords that I think have a fair chance of getting the baby into trouble, and that automatically means only near term, and only tight loops as evidenced by indentation of the skin of the neck. Allen
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