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Umbilical Artery Thrombosis Causing Fetal Distress: A Case Report
Jia Li1, Iqra Ijaz2,3, Liang Zhao1
1Department of Gynecology, Chongqing Traditional Chinese Medicine Hospital, Chongqing, CHN.
Cureus
|August 16, 2024
Summary
Umbilical artery thrombosis (UAT) is a rare pregnancy complication. Vigilant monitoring and timely intervention can lead to successful vaginal delivery, even with fetal distress.
Area of Science:
- Obstetrics and Gynecology
- Fetal Medicine
- Radiology
Background:
- Umbilical cord (UC) complications, including umbilical artery thrombosis (UAT), can severely impact fetal outcomes.
- Prenatal diagnosis of UAT is challenging but crucial for managing pregnancy risks.
Observation:
- A case of a primigravida with UAT diagnosed at delivery, accompanied by nuchal cord and abnormal UC coiling.
- The patient experienced premature rupture of membranes and continuous fetal distress during labor.
Findings:
- Despite UAT and fetal distress, continuous electronic fetal monitoring (EFM) allowed for vigilant observation.
- Spontaneous vaginal delivery resulted in a healthy neonate, demonstrating successful management.
Implications:
- Routine UC sonographic studies during antenatal scans are recommended for early detection of UAT and other cord abnormalities.
- Obstetricians require awareness of critical sonographic parameters for timely management of UC complications.
- Close monitoring and appropriate delivery timing are key to mitigating fetal morbidity and mortality associated with UAT and related conditions.
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