Nuchal cords at term are present in 15 to 34% of births for single loop and 5–6% for multiple nuchal cords. Despite the good prognosis in most of the cases, nuchal cord is associated with variable fetal heart rate deceleration, decreased fetal movements, fetal distress, and intrauterine fetal demise in few cases. Diagnosis of nuchal cord is by colour doppler which has senstivity of 60%-95%. Multiple nuchal cord, especially four or more loops, demands special care due to the risk of intermittent cord compression. We present a rare case of gravid four para three woman, in which intra uterine death (IUD) occurred due to the six tight loops of cord around neck, which was not detected in the antenatal period.
Nuchal cord, Intra uterine death
