Patient's question:
I am 23 weeks pregnant. The ultrasound results are as follows:Fetal head position: Above the pubis
Spinal column position: Left anterior
Intracranial structures: Clear
Biparietal diameter: 57mm
Femur length: 41mm
Amniotic fluid thickness: 36mm
Placental thickness: 24mm
Position: Anterior wall
Grade I
Fetal heart rate: 146 beats per minute
Ultrasound findings: Single viable fetus, 23 weeks pregnant, umbilical cord
Please help me analyze my baby's development. Does the umbilical cord affect the baby? What should I pay attention to? Can I have a normal delivery?
Doctor's answer:
Hello, your condition is generally normal. The umbilical cord is loosely around the neck, which does not affect umbilical cord blood circulation and will not endanger the fetus. According to statistics, the incidence of umbilical cord is 20%—25%, which means that one out of every 4—5 fetuses is found to have an umbilical cord at birth. There are many cases where the umbilical cord has3 circles, or even 7 circles, and the children are all doing well.Of course, anything can happen. If the umbilical cord is too tight, it can compress the umbilical vessels, obstruct blood circulation, or compress the fetal neck vein, leading to ischemia and hypoxia of the fetal brain tissue, causing intrauterine distress, stillbirth, stillbirth, or neonatal asphyxia. This phenomenon often occurs during labor. If it is accompanied by an umbilical cord that is too short or relatively too short, it often affects the descent of the presenting part during labor, leading to prolonged labor and exacerbating fetal hypoxia, endangering the fetus.
My advice to you is: (1) Learn to count fetal movements. If the fetal movements are too frequent or too infrequent, seek medical attention promptly; (2) If there is too much or too little amniotic fluid or an abnormal fetal position, undergo prenatal examinations; (3) Use indirect methods such as fetal heart monitoring and ultrasound to assess the condition of the umbilical cord; (4) Do not request a cesarean section out of fear of umbilical cord complications.