MIDWIFERY CARE FOR MRS. R, WITH UMBILICAL CORD DELIVERY AT RIMENDA CLINIC, MEDAN DENAI DISTRICT, MEDAN CITY, NORTH SUMTRA PROVINCE IN 2025

Trisaputri Pasaribu; Nur Azizah; Marliani; Fanny  Fitrianti; Riska Saskia Lumban Gaol; Tabita Rosilawati Purba; Rimenda Tarigan

Authors

Trisaputri Pasaribu Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Nur Azizah Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Marliani Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Fanny Fitrianti Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Riska Saskia Lumban Gaol Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Tabita Rosilawati Purba Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Rimenda Tarigan Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan

Keywords:

Midwifery Care, Umbilical Cord Delivery, Intranatal Care, Clinical Case Study,, Rimenda Clinic

Abstract

Childbirth with an umbilical cord entanglement is a delivery carried out on a baby with an umbilical cord entanglement that can result in fatal consequences, namely death in the baby. This is due to repeated twisting of the umbilical cord in one direction, which can completely block fetal blood flow. Umbilical cord entanglement is usually found on the child’s neck. Several factors that cause umbilical cord entanglement include an umbilical cord that is too long, fetal movement that is too active, and a high volume of amniotic fluid. Umbilical cord entanglement refers to a condition where the umbilical cord is entangled in a part of the fetus’s body, such as the neck, body, or legs. WHO does not provide an explicit definition of this condition; medical literature states that umbilical cord entanglement is a common phenomenon in pregnancy and occurs in about 20-30% of pregnancies. Handling umbilical cord entanglement can be done by releasing it from the fetus's neck if possible; if not, the cord can be cut to reduce pressure. Perform medical treatment according to the safety of the mother and baby.

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