How to treat umbilical cord winding

Cord entrapment is a common complication during pregnancy and is mainly related to the length of the umbilical cord, excessive amniotic fluid and frequent fetal movements. The greater the circumference of the cord and the tighter it is, the higher the risk to the fetus in utero. However, regular pregnancy checkups are needed to closely monitor the fetal condition, such as self-counting fetal movement and fetal heart monitoring to monitor whether the fetus is hypoxic. If the cord is not very serious and the fetal heart rate is abnormal but can be recovered, the fetal hypoxia can be improved by oxygen or changing the position, and the delivery can be expected until the delivery, which should be closely observed during this period; if the delivery is imminent, vaginal delivery can be attempted, and if the fetus is in intrauterine distress during the first stage of labor or the progress of labor is very slow, cesarean delivery can be performed instead. If the umbilical cord is more serious, such as many weeks, tightly wound, severe fetal hypoxia or abnormal fetal heartbeat that cannot be recovered, the pregnancy should be terminated by cesarean section immediately, regardless of whether or not labor is in progress. In addition, regardless of the situation, we need to prepare for neonatal asphyxia in order to reduce the prognostic impact of intrauterine distress or neonatal asphyxia on the perinatal infant and improve the survival rate of the perinatal infant. In summary, the treatment of cord entrapment needs to be selected according to the number of weeks of entrapment, its tightness and fetal condition, and the number of weeks of gestation.