Nuchal cord is when the umbilical cord that passes 360 degrees (coiled) around the fetal neck. Many parents are concerned that their baby will be born with the umbilical cord around the neck (nuchal cord), and associate this scenario with complications including stillbirth, fetal distress or neonatal morbidity. About one third of babies are born with a nuchal cord. Nuchal cord can be classified according to the number of cord coiling and tightness. Majority of nuchal cord are single loop (20.6%) and loose.

The diagnosis of nuchal cord is usually made following abnormal CTG changes (fetal distress pattern) or upon delivery of the baby’s head. Lately, nuchal cord can be detected by antenatal ultrasound.

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Author: Dr Ng Soon Pheng

Dr. Ng Soon Pheng MD(USM), M.Med (O&G), Fellow Reprod Medicine (Singapore), AM (Mal) Dr. Ng Soon Pheng qualified from University Kebangsaan Malaysia (UKM), Malaysia. After obtaining his post graduate degree, Dr. Ng Soon Pheng continued his clinical fellowship training in the field of IVF in Singapore. He was also the recipient of Yayasan Sultan Iskandar (Johor) Scholarship for the fellowship stint. Dr. Ng Soon Pheng has more than 10 years of working experience in the field of Obstetrics and Gynaecology in the public and university hospital, with special interests in infertility. He was an Associate Professor with the Department of O&G in Universiti Kebangsaan Malaysia (UKM) specialising in infertility. Dr. Ng Soon Pheng is currently Consultant Obstetrician and Gynaecologist with special interests in infertility at Columbia Asia Hospital - Puchong.