NSMD 2023: National Safe Motherhood Day is observed every year on 11 April in India to raise awareness about the care and treatment needed for new or soon-to-be mothers. Since postpartum hemorrhage is one of the major factors responsible for 25% of all maternal deaths. It is responsible for 25% of all maternal deaths. In India, PPH incidence in India is 2%-4% after vaginal delivery and 6% after cesarean section, awareness about planning and a safe route to motherhood is essential.
Something common between a new mother and an expectant mother is the safety of the baby and hence we are going to discuss the most common cause of complications during pregnancy or delivery – The nuchal cord.
The uterine connection between a woman and her unborn child is made up of an umbilical cord, which looks like a tube. It is important in transferring nutrients and oxygen from mother to fetus. Nevertheless, a nasal cord is a condition that occurs when this cord wraps around the baby’s neck for any number of reasons, including a long cord or the baby’s movement.
According to research at the National Library of Medicine, nuchal cords are commonly seen during pregnancy, with approximately 12% occurring at 24 to 26 weeks and 37% at full term.
National Safe Motherhood Day: Main reasons for a nuchal cord
Dr. Rashmi Balyan, gynecologist and obstetrician at Primus Super Specialty Hospital, New Delhi, said that there could be several reasons for this, including excessive fetal movement, long umbilical cord or lack of amniotic fluid. “Additionally, factors such as advanced maternal age or certain medical conditions can increase the likelihood of having a nuchal cord,” she told Zee English, adding that there is no specific reason why the cord is wrapped around the neck and that it is important for health. Monitoring the condition of the baby during labor to ensure a safe delivery for service providers.
Could your sleeping posture or certain exercises be causing complications?
Although there is no specific body movement or exercise that has been associated with umbilical cord prolapse, there are some factors that may increase the risk. “Excessive fetal movement or a long umbilical cord can increase the likelihood of having a nuchal cord. Additionally, certain medical conditions or advanced maternal age may also play a role,” explains Dr. Rashmi, adding that sleeping position is not directly linked to the cause. But pregnant women are generally advised to avoid lying on their back in the later stages of pregnancy to reduce the risk of complications.
Can nuchal cord be prevented?
Unfortunately, there is no surefire way to prevent nuchal cord from occurring, as it is often due to factors beyond one’s control, such as fetal movement or the length of the cord. However, regular prenatal care and monitoring the baby’s growth and movements can help detect any potential problems early.
“During delivery, healthcare providers may also monitor the baby’s heart rate and take steps to gently twirl the cord if necessary. can help reduce the risk.” ,
How to detect complications during pregnancy for safe motherhood?
Dr Ekta Bajaj, Senior Consultant and Head-Obstetrics Gynaecology, Ujala Cygnus Group of Hospitals, explains that nuchal cord problems do not have any physical symptoms and are usually detected only during a routine ultrasound scan. Usually, no treatment or additional tests are recommended unless the doctor feels there is cause to be concerned.
“Infants with a tight nasal bone may develop signs and symptoms such as hypotension, hypovolemia, decreased perfusion, and mild respiratory distress. Other findings that may occasionally be mentioned are facial flushing, facial petechiae, May include subconjunctival hemorrhage, facial swelling, or abrasion of the skin around the neck due to tight ductal cords,” she comments.
Some common issues during pregnancy may include tubal translucency, preeclampsia, preterm labor, gestational diabetes, depression, and anxiety. In the case of fallopian tube translucency, fluid collecting behind the neck can be detected by ultrasound scanning, and can be measured. The more fluid that has accumulated, the higher the risk of an abnormality,” Dr Ekta summarized the discussion and advised new moms to stay connected with their healthcare provider and report any issues that may affect her or the baby. can be stressful.
People pay more attention to the health of mothers during pregnancy and generally neglect their postnatal health. But health problems, some life-threatening, can occur weeks and months later and many people are not aware of the warning signs.