Conference abstract
A case of a newborn with a four loops nuchal cord rescued from severe neonatal asphyxia: What have we learned new?
Pan African Medical Journal - Conference Proceedings. 2023:16(25).15
Mar 2023.
doi: 10.11604/pamj-cp.2023.16.25.1888
Archived on: 15 Mar 2023
Contact the corresponding author
Keywords: Four loops nuchal cord, severe neonatal asphyxia, neonatal intensive care, lesson learned
Poster
A case of a newborn with a four loops nuchal cord rescued from severe neonatal asphyxia: What have we learned new?
Robert Tchounzou1,&, Isaac Mboh Eyong1, Yannick Onana2, Modeste Ngono3, Théophile Nana Njamen1
1Department of Obstetrics and Gynaecology. Faculty of Health sciences. University of Buea, Buea, Cameroon, 2Hôpital Gynéco-Obstétrique et Pédiatrique de Douala, Cameroun
&Corresponding author
Introduction: the presence of the nuchal cord is frequent during delivery and does not usually cause adverse fetal or neonatal outcomes; but in case of multiple loops, the risk of perinatal complications or death is increased if timely management is not done.
Case presentation: we report a case of a 30-year-old G3P2 with a past history of nuchal cord in her previous pregnancies, one resulting in neonatal death and a previous cesarean section. She delivered at 40 weeks of gestation through an elective cesarean section of a female child with four loops of nuchal cord and severe neonatal asphyxia. The newborn baby was admitted to the neonatal and resuscitated. We review the recommendations about the management of multiple loops nuchal cord and highlight the lesson learned.
A case of a newborn with a four loops nuchal cord rescued from severe neonatal asphyxia: What have we learned new?
Robert Tchounzou1,&, Isaac Mboh Eyong1, Yannick Onana2, Modeste Ngono3, Théophile Nana Njamen1
1Department of Obstetrics and Gynaecology. Faculty of Health sciences. University of Buea, Buea, Cameroon, 2Hôpital Gynéco-Obstétrique et Pédiatrique de Douala, Cameroun
&Corresponding author
Introduction: the presence of the nuchal cord is frequent during delivery and does not usually cause adverse fetal or neonatal outcomes; but in case of multiple loops, the risk of perinatal complications or death is increased if timely management is not done.
Case presentation: we report a case of a 30-year-old G3P2 with a past history of nuchal cord in her previous pregnancies, one resulting in neonatal death and a previous cesarean section. She delivered at 40 weeks of gestation through an elective cesarean section of a female child with four loops of nuchal cord and severe neonatal asphyxia. The newborn baby was admitted to the neonatal and resuscitated. We review the recommendations about the management of multiple loops nuchal cord and highlight the lesson learned.
