A 34 year old G11P7 at 37 weeks undergoing an induction of l | Figure 1

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A 34 year old G11P7 at 37 weeks undergoing an induction of labor for chronic hypertension with superimposed severe preeclampsia delivered a healthy girl without issue; a true double knot was found in the umbilical cord.


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True knot in a full term SVD! Baby had a very long cord and 8/9 Apgars. Mom had no risk factors and no issues with the pregnancy, came in SROMed and labored all on her own with no augmentation. Baby had a cat 1 strip through the entire labor with only a small period of minimal variability post-epidural placement. Patient‘s permission to photograph.

G2P1 with Vasa Previa at 35 weeks. Urgent cesarean section for occasional variable decelerations. Mom and baby are both well on POD2.

Marginal velamentous insertion. No decels were detected during labor. Baby weighed 10 pounds.

Two true knots in one umbilical cord. True knots occur in about 1% of cords. They may be tight enough occasionally to cause stillbirth. Two knots are extremely rare. This baby was born healthy!

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