In a birth with a nuchal cord, which action is recommended?

In a birth with a nuchal cord, which action is recommended?

• A. Leave the cord wrapped around the neck
• B. Clamp and cut cord immediately
• C. Slip cord over the head and off neck
• D. Attempt to unwrap the cord during delivery

Answer: (C)

When a nuchal cord is present, the goal is to relieve the loop without applying traction to the cord. The best action is to gently slip the cord over the baby’s head and off the neck as the head is delivered. This relieves constriction while preserving placental blood flow and minimizes the risk of hypoxia. Do not pull on the cord during delivery, as that can tighten the loop and worsen obstruction. If there isn’t enough slack to slip it over the head, clinicians manage the situation with care, but the first and most effective step is to carefully slide the cord over the head rather than leaving it in place or trying to unwrap by traction.

When a nuchal cord is present, the goal is to relieve the loop without applying traction to the cord. The best action is to gently slip the cord over the baby’s head and off the neck as the head is delivered. This relieves constriction while preserving placental blood flow and minimizes the risk of hypoxia. Do not pull on the cord during delivery, as that can tighten the loop and worsen obstruction. If there isn’t enough slack to slip it over the head, clinicians manage the situation with care, but the first and most effective step is to carefully slide the cord over the head rather than leaving it in place or trying to unwrap by traction.