The baby was cyanotic but survived after the cord has been unwrapped immediately after delivery. A nuchal cord occurs when the umbilical cord becomes wrapped very tightly and compresses the neck 360 degrees. Up to half of nuchal cords resolve before delivery, yet complicated cases pose a significant risk for lowered blood flow, hypoxia (low oxygen levels), and subsequent ischemia. Management of a presenting nuchal cord should be tailored to prevent umbilical cord compression whenever possible. Techniques to preserve an intact nuchal cord depend on how tightly the cord is wrapped around the infant’s neck. If the cord is loose, it can easily be slipped over the infant’s head. The infant can be delivered normally. If the cord is too tight to go over the infant’s head, the provider may be able to slip it over the infant’s shoulders and deliver the body through the cord. The cord can then be unwrapped from around the baby after birth. In cases such as this, immediate C-section is necessary. If not performed quickly enough, this can make the effects of hypoxia and ischemia significantly worse.