Two true knots in one umbilical cord. True knots occur in a | Figure 1

obgyndoc

Obstetrics & Gynecology

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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True knot following SVD.](https://app.figure1.com/case-detail/0599e1d2-52cc-4047-a25a-50bd5375ec68)



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.](https://app.figure1.com/case-detail/12a9aeb8-3796-40f3-8279-7d3b195e05eb)



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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.](https://app.figure1.com/case-detail/1997f08d-5b0c-4868-bea8-3a7a1e8b705a)

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