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A Swine Model of Neonatal Asphyxia
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Severe Intrapartum Asphyxia from Subamniotic Hemorrhage.

Tsz-Kin Lo1, Andrea Lee1, Wan-Pang Chan1

  • 1a Department of Obstetrics and Gynecology , Princess Margaret Hospital , Hong Kong , Hong Kong.

Fetal and Pediatric Pathology
|July 2, 2016
PubMed
Summary
This summary is machine-generated.

Subamniotic hemorrhage, a rare event, can cause severe perinatal asphyxia. This case highlights its potential for critical intrapartum complications.

Keywords:
Subamniotic hemorrhageintrapartumperinatal asphyxia

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Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Medicine
  • Maternal-Fetal Medicine

Background:

  • Subamniotic hemorrhage arises from the rupture of chorionic vessels near umbilical cord insertion.
  • Historically, it has not been recognized as a significant cause of severe intrapartum complications.

Observation:

  • This report details the first documented instance of acute, massive subamniotic hemorrhage occurring during labor.
  • The hemorrhage was directly linked to the umbilical cord's insertion site.

Findings:

  • The massive intrapartum hemorrhage led to severe perinatal asphyxia.
  • This outcome was unexpected given the typical clinical presentation of subamniotic hemorrhage.

Implications:

  • Clinicians should consider subamniotic hemorrhage in the differential diagnosis of severe intrapartum fetal distress.
  • This case underscores the need for heightened awareness and prompt management of this rare obstetric emergency.
  • Further research may elucidate the mechanisms and risk factors associated with severe subamniotic hemorrhage.