Judith S. Mercer, CNM, DNSc, FACNM, is a faculty member of the University of Rhode Island College and Principal Investigator for a randomized controlled trial on delayed cord clamping in preterm infants funded by National Institutes of Health.
Nuchal Cord Management and Nurse-Midwifery Practice
Article first published online: 24 DEC 2010
2005 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 50, Issue 5, pages 373–379, September-October 2005
How to Cite
Mercer, J. S., Skovgaard, R. L., Peareara-Eaves, J. and Bowman, T. A. (2005), Nuchal Cord Management and Nurse-Midwifery Practice. Journal of Midwifery & Womens Health, 50: 373–379. doi: 10.1016/j.jmwh.2005.04.023
- Issue published online: 24 DEC 2010
- Article first published online: 24 DEC 2010
- nuchal cord;
- somersault maneuver;
- umbilical cord clamping;
Nuchal cord, or cord around the neck of an infant at birth, is a common finding that has implications for labor, management at birth, and subsequent neonatal status. A nuchal cord occurs in 20% to 30% of births. All obstetric providers need to learn management techniques to handle the birth of an infant with a nuchal cord. Management of a nuchal cord can vary from clamping the cord immediately after the birth of the head and before the shoulders to not clamping at all, depending on the provider's learned practices. Evidence for specific management techniques is lacking. Cutting the umbilical cord before birth is an intervention that has been associated with hypovolemia, anemia, shock, hypoxic-ischemic encephalopathy, and cerebral palsy. This article proposes use of the somersault maneuver followed by delayed cord clamping for management of nuchal cord at birth and presents a new rationale based on the available current evidence.