Скачать или смотреть One knot. One miracle. 💙Dr. RITU / Gynecologist

🪢 What Is a True Knot in the Umbilical Cord?

A true knot is an actual, physical knot in the umbilical cord that forms during pregnancy, typically when the baby moves actively in early gestation. It can potentially tighten and restrict blood flow to the baby, especially during labor.
🔍 Key Facts:
• Incidence:
Found in ~0.3% to 2% of pregnancies (around 1 in 100 on average).
• When It Forms:
Most often in early pregnancy when the baby has lots of room to move and twist through loops of the cord.
• Risk Factors:
• Excess amniotic fluid (polyhydramnios)
• Long umbilical cord
• Increased fetal activity
• Twin pregnancies
• Small or underweight fetuses
• Male fetuses (slightly higher odds statistically)
• Complications:
• Often harmless and loose
• If the knot tightens, it may reduce blood and oxygen flow
• Associated with fetal distress, stillbirth, or poor growth in rare cases
• Diagnosis:
• Difficult to detect antenatally
• Occasionally seen on color Doppler ultrasound
• Most often discovered at delivery
• Management:
• Close fetal monitoring during labor
• Emergency delivery (e.g., C-section) if signs of fetal distress
• No preventive treatment exists

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🍼 Prognosis:
• Most babies with true knots are born healthy, especially if the knot is loose and doesn’t obstruct circulation.
• It becomes dangerous mainly if it tightens late in pregnancy or during labor.

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