Related Experiment Videos
Fetal loss from umbilical cord abnormalities--a difficult case for prevention
European Journal of Obstetrics, Gynecology, and Reproductive Biology
|November 1, 1984
Summary
Umbilical cord abnormalities can lead to fetal distress and death, with a 75% perinatal mortality in this study. Early detection of fetal distress and prompt delivery are crucial for preventing adverse outcomes.
Area of Science:
- Perinatology
- Obstetrics
- Fetal Medicine
Background:
- Umbilical cord abnormalities are a recognized cause of adverse pregnancy outcomes.
- Timely diagnosis and intervention for fetal distress are critical for improving perinatal survival.
Purpose of the Study:
- To investigate the spectrum of umbilical cord abnormalities and their association with fetal distress and death.
- To evaluate the effectiveness of current diagnostic methods and management strategies.
Main Methods:
- Retrospective case series of 12 pregnancies with umbilical cord abnormalities.
- Review of clinical data, including fetal movements, cardiotocography (NST), and perinatal outcomes.
- Analysis of specific cord pathologies such as stricture, torsion, aneurysm, hemorrhage, thrombosis, knots, and short cord.
Main Results:
- Perinatal mortality was 75% (9/12 fetuses), including 8 stillbirths and 1 neonatal death.
- Common abnormalities included stricture/torsion (6 cases) and true knots (2 cases).
- Reduced fetal movements and abnormal non-stress cardiotocography (NST) were noted, with rapid fetal death following abnormal tests.
Conclusions:
- Antepartum fetal deaths due to umbilical cord abnormalities remain challenging to prevent due to difficulties in timely detection of fetal distress.
- Prompt delivery following an abnormal NST is essential for mitigating antepartum fetal deaths from these causes.