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Umbilical Cord Haematoma Causing Still Birth- A Case Report
Anuja Abraham1, Swati Rathore1, Mayank Gupta2
1Assistant Professor, Department of Obstetrics and Gynaecology, Christian Medical College , Vellore, Tamil Nadu, India .
Journal of Clinical and Diagnostic Research : JCDR
|January 28, 2016
Summary
Still birth remains a significant obstetric challenge. Umbilical cord hematoma can cause unexplained intrauterine fetal death, highlighting the importance of placental and cord examination.
Area of Science:
- Obstetrics and Gynecology
- Perinatology
- Fetal Medicine
Background:
- Still birth presents diagnostic challenges, particularly for antenatal cases.
- Intrapartum still births are often linked to asphyxia, infections, or medical complications.
- Ascertaining the cause of antenatal still birth can be difficult, causing anxiety for patients and clinicians.
Observation:
- A detailed examination of the placenta and umbilical cord is crucial in unexplained still birth investigations.
- A significant number of still births attributed to unknown causes may stem from placental or cord pathologies.
- This case highlights an umbilical cord hematoma leading to intrauterine fetal death.
Findings:
- Umbilical cord hematoma is identified as a direct cause of intrauterine fetal death.
- The study emphasizes the need for thorough placental and cord evaluation in still birth cases.
- Diagnostic investigations may not always reveal the cause of still birth without specific focus on cord and placental pathology.
Implications:
- Accurate diagnosis of still birth causes can alleviate maternal and clinician anxiety.
- Identifying placental and cord pathologies improves understanding of still birth etiology.
- This case underscores the importance of comprehensive examination in obstetric practice to determine still birth causes.
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