The article reports a rare case of umbilical cord twisted five times around the fetus`s neck. Our case referred to a 37 year old bedridden woman with diabetes and low amniotic fluid. As a result of performed caesarian section the newborn survived and is in a good state now. The umbilical cord wrapping around the fetus`s neck during conservative labor give rise to various complications in the fetus and is the cause of hypoxic-ischemic encephalopathy; the umbilical cord wrapping around the fetus`s neck tightly for several times causes intrauterine hypoxia; we consider ultrasonographic visualization of the umbilical cord to be included in the guidelines; cesarean intervention reduces complications during the labor and the postnatal period by 50%.