10/28/2022
Nuchal - neck
Cord- referring to the umbilical cord.
When asked about the safety of home birth, I often get questions about what happens if the baby's umbilical cord is wrapped around their neck. In medical term, it is called a nuchal cord. In the second photo you can see the cord wrapped around not once, but twice! A double nuchal
cord. Nuchal cords are actually very common, with
research showing that they occur in roughly 1 out of every 3 births. They are very common and rarely problematic, as cords are soft, slippery, and padded with what is called Wharton's jelly. All it takes are a few maneuvers to unravel the baby so that they can be brought easily up to their
mother's chest. Nuchal cords are often resolved within a few seconds.
I know it can look a bit scary, but the cord is designed to be squished. The cord is coiled and covered in Wharton's jelly which protects the cord and if the cord manages to get itself in a knot or wrapped around a baby's neck it protects it from tightening and stops the vessels inside being restricted.
Babies receive oxygen via the cord, so remember that your baby is not breathing through their mouth yet, and is receiving oxygenated blood via the placenta and will continue to do so until after birth.
Delaying the clamping of the cord in this instance is
extremely beneficial to allow baby to receive oxygen from both the inside and outside world!!
Nuchal cords are too often used as a scapegoat for
unnecessary interventions.
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Photos:.evans.photographybirth