By these accompanying symptoms an umbilical cord loop of the neck is recognizable
In most cases an umbilical cord wrap can only be seen by CTG abnormalities or an ultrasound. Other symptoms are only very rarely seen. However, if the expectant mother feels that the otherwise active child is no longer moving, a doctor should be consulted.
An imprecise feeling that something is wrong also justifies a visit to the gynecologist. An above-average baby belly can also indicate an excess of amniotic fluid and increase the likelihood of a wrap. In addition, a lack of rotation and thus a breech presentation can indicate that the baby is being wrapped, since there is not enough room to move when the umbilical cord is short and wraps around the baby.
Therapy
In most cases, umbilical cord wrapping does not need to be treated. A slight wrapping has no negative consequences for the unborn child during pregnancy. Complications can only occur during the birth.
If there are any abnormalities in the CTG during birth, an emergency C-section can be performed to protect the child. If the umbilical cord is known to be too short with a loop and previous stillbirths, a primary Caesarean section can be recommended. In rare cases of complications at earlier stages of pregnancy, a Caesarean section may also be necessary, but this is then associated with the complications of premature birth.
After complications have occurred, intensive medical care of the newborn may be necessary. This includes monitoring the vital functions, oxygen therapy and stabilization of the circulation. In cases of severe drinking weakness, artificial feeding may also be necessary. In the case of late damage, early support of the child is helpful.
