Patient's question:
Now I am 38 weeks pregnant, but I have low amniotic fluid, and the umbilical cord is wrapped around the neck once. The doctor asked me to be hospitalized. Can I have a cesarean section directly now?Doctor's answer:
Hello, umbilical cord is very common clinically. Generally, it can be safely managed through the pregnancy period. Whether a vaginal delivery is possible depends on factors such as the size of the pelvis during labor, fetal position, amniotic fluid, cervical condition, strength of contractions, duration of labor, maternal health, fetal size, and more. These factors are considered comprehensively to make a decision.It is recommended that if there is a lack of amniotic fluid and the umbilical cord is, the most important thing is to pay attention to fetal movement. If there is frequent fetal movement or a significant decrease in fetal movement, it is necessary to seek medical attention promptly. If needed, intermittent oxygen therapy may be administered. During delivery, based on the results of fetal heart monitoring, the indication for cesarean section may be relaxed accordingly. A cesarean section can be performed after the fetus is full-term at 38 weeks of pregnancy, or it can be waited until labor symptoms appear before proceeding with the surgery.