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October 23, 2025Case Reports in Obstetrics and GynecologyOpen Access

Intrapartum Fetal Heart Rate Pattern Evolution Associated With Septuple Nuchal Cord Loops: A Case Report

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Authors

MSM. SugimotoMNMasahiro NakaoMNMasafumi Nii

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Overview

Case report shows altered fetal heart rate patterns during labor in a vaginal birth, suggesting risks of neonatal asphyxia.

Key Points

  • Severe fetal heart rate decelerations observed during labor indicated potential distress in the presence of nuchal cords.
  • The infant's Apgar score at 1 and 5 minutes was 8 and 9, suggesting good initial condition despite complications.
  • The case involved a 31-year-old primigravida with a vaginal birth facilitated by vacuum extraction at 38 weeks of gestation.
  • Early detection of umbilical cord abnormalities may enhance decision-making to prevent neonatal complications.

Cite This Study

Sugimoto et al. (2025) studied this question.

synapsesocial.com/papers/68f9a0eb8ea8f2f37ee94b3bhttps://doi.org/10.1155/crog/9925453
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1<scp>ISUOG</scp> Practice Guidelines (updated): performance of the routine mid‐trimester fetal ultrasound scan2022 · 426 citations
  2. 2Umbilical cord characteristics and their association with adverse pregnancy outcomes: A systematic review and meta-analysis2020 · 81 citations
  3. 3Practice Bulletin No. 116: Management of Intrapartum Fetal Heart Rate Tracings2010 · 321 citations
  4. 4Obstetric Care Consensus No. 12014 · 764 citations