To see more knots and nuchal cords at birth, click here. “My first baby had the cord around her neck, her waist and her ankle. The midwife didn’t remember the last time she saw a cord that long!” — ...

Also, we recommend that clinicians not cut a nuchal cord before delivery of the shoulders, but instead, use the somersault maneuver to deliver the child and resuscitate at the perineum as necessary.

Given her history and the current non-reactive fetal heart tracing, the patient was taken for emergency caesarean delivery. A female infant was born with four loops of nuchal cord and a true knot ...