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Accurate and Simple Evaluation of Vascular Anastomoses in Monochorionic Placenta using Colored Dye
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Published on: September 5, 2011

Complex umbilical cord entanglement.

Madeline Dodds1, Rory Windrim, John Kingdom

  • 1Maternal and Fetal Medicine Division, Department of Obstetrics and Gynecology, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.

The Journal of Maternal-Fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
|November 30, 2011
PubMed
Summary
This summary is machine-generated.

Complex umbilical cord entanglement can lead to serious fetal complications, including reduced movements and premature birth. Careful monitoring is crucial for managing these high-risk pregnancies.

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Area of Science:

  • Perinatology
  • Obstetrics
  • Fetal Medicine

Background:

  • Umbilical cord entanglement is a rare but potentially serious complication during pregnancy.
  • This study reviews cases of complex umbilical cord entanglement managed at a specialized Placenta Clinic.

Observation:

  • Three cases of complex umbilical cord entanglement were observed over five years.
  • Entanglement was associated with fetal bradycardia and reduced fetal movements.
  • All affected pregnancies resulted in premature delivery.

Findings:

  • Multiple umbilical cord loops were found around the fetal neck, limbs, or body.
  • One case resulted in intrauterine fetal death.
  • Placental pathology revealed cord occlusion and fetal thrombotic vasculopathy.

Implications:

  • Complex umbilical cord entanglement poses significant risks to fetal well-being.
  • Prompt diagnosis and management are essential for improving perinatal outcomes.
  • Further research into preventative strategies and improved monitoring for cord entanglement is warranted.