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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.
We describe three cases of complex umbilical cord entanglement seen in the past 5 years at our Placenta Clinic. The cases were associated with intermittent fetal bradycardia, reduced fetal movements, and were all delivered prematurely with multiple umbilical cord loops around the neck, limbs, or body. One intrauterine fetal death occurred. Placental pathology showed downstream effects of cord occlusion and fetal thrombotic vasculopathy.
We describe three cases of complex umbilical cord entanglement seen in the past 5 years at our Placenta Clinic. The cases were associated with intermittent fetal bradycardia, reduced fetal movements, and were all delivered prematurely with multiple umbilical cord loops around the neck, limbs, or body. One intrauterine fetal death occurred. Placental pathology showed downstream effects of cord occlusion and fetal thrombotic vasculopathy.
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