#trueknot #ob #midwife This was on an infant I delivered. Ha | Figure 1

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#trueknot #ob #midwife This was on an infant I delivered. Had a prolonged deceleration down to 60s for about 5 minutes after AROM. Intrauterine resuscitation measures finally worked. Had a beautiful NSVD with 9/9 Apgars.

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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.

Velamentous cord insertion found incidentally post op. Primip, spontaneously ruptured membranes and augmented with syntocinon before NELUSCS at 8cm for failure to progress. CTG was normal throughout labour with just the occasional variable decel. APGARS 9 and 9. 3.6kg baby.

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

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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