01/06/2026
Just look at this gorgeous true knot- discovered after a healthy, vaginal birth!
True knots happen in about 1% of all pregnancies and most of the time do not cause any negative outcomes. If they are very tight, however, oxygen flow to the fetus might be compromised, which can lead to serious issues.
If you know that you have a true knot on your umbilical cord, your pregnancy will likely be closely monitored in the third trimester, with some extra Doppler testing. Paying attention to fetal movements is always recommended and can help prevent serious complications.
A true knot of the umbilical cord doesn’t mean that a pregnant person cannot have a vaginal birth - in most cases we don’t know that the knot is even present! Fetal distress during labour can be a basis for a recommendation for a c-section but in most cases the cause of distress is unknown.
Have you seen/ had a true knot? What was the experience?