True Cord Knot Means True Fetal Risk – Comment on the Title Image of Ultraschall in Med 2018; 39(02):127–128

Ebbing, Cathrine; Kessler, Jörg; Rasmussen, Svein

doi:10.1055/a-0770-2850

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“…There is no recommendation to examine the morphological structure of the umbilical cord between the insertions. Therefore, the diagnosis of UCK remains (with exceptions) a postpartum one and affects, in accordance with Norwegian data, 1.2 % of all pregnancies [2]. Should we change it in order to avoid stillbirths?…”

Section: Dear Editorsupporting

confidence: 57%

Letter to the Editor Regarding the Article: “Antenatal Detection of True Knot in the Umbilical Cord – How Accurate Can We Be?”

et al. 2023

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Section: Dear Editorsupporting

confidence: 57%

Letter to the Editor Regarding the Article: “Antenatal Detection of True Knot in the Umbilical Cord – How Accurate Can We Be?”

et al. 2023

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“…67 The true knot itself or coexistence with other umbilical cord complications may increase obstetrical or neonatal complications (Table 1). 38,40,55,[68][69][70][71][72][73]…”

Section: Clinic Al S Equel Aementioning

confidence: 99%

Knots of the umbilical cord: Incidence, diagnosis, and management

Al Qasem,

Meyyazhagan,

Tsibizova

et al. 2024

Intl J Gynecology & Obste

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Knot(s) of the umbilical cord have received emphasis because the clinical assessments and sonographic literature show a crucial role in fetal outcomes. The true umbilical cord knot could be a knot in a singleton pregnancy or an entanglement of two umbilical cords in monoamniotic twins. Clinical manifestations are almost silent, which can raise clinical challenges. They worsen outcomes, and the pathology can be easily missed during prenatal visits because ultrasonographers do not pay attention to the cord during an obstetric ultrasound scan. However, most medical centers now have ultrasound machines that improve fetal assessment. The umbilical cord should be routinely evaluated during a fetal assessment, and suspicion of an umbilical cord knot can be more frequently diagnosed and is detected only incidentally. Clinical outcome is usually good but depends on the knot's characteristics and if it is tight or loose. In this review, we discuss pathophysiology, the theories on formation, the main risk factors, ultrasound signs and findings, different opinions in the management, and features of pregnancy outcomes feature.

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True Cord Knot Means True Fetal Risk – Comment on the Title Image of Ultraschall in Med 2018; 39(02):127–128

Cited by 2 publications

References 5 publications

Letter to the Editor Regarding the Article: “Antenatal Detection of True Knot in the Umbilical Cord – How Accurate Can We Be?”

Letter to the Editor Regarding the Article: “Antenatal Detection of True Knot in the Umbilical Cord – How Accurate Can We Be?”

Knots of the umbilical cord: Incidence, diagnosis, and management

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