This study concluded that nuchal cords may not significantly increase the risk of acute or labor-associated fetal hypoxia, but are an independent risk factor of mild, chronic, prelabor fetal hypoxia.
For example, if after measuring the nuchal fold it is obtained that there is a probability of 1 in 30, it means that 1 in 30 babies born with the same results has a real risk of suffering some kind of problem.
This scan has been shown to detect 77% of babies who are born with Down syndrome.
Nuchal cords are more likely to cause problems when the cord is tightly wrapped around the neck, with effects of a tight nuchal cord conceptually similar to strangulation.
They are usually multi-septate and the hallmark of a true cystic hygroma is the presence of the thick midline nuchal septum corresponding to the nuchal ligament Figure 1-42.
Better understanding of bioengineering aspect of umbilical cord especially on mechanism of nuchal cord formation may shed light on management.