A rare fetal umbilical cord complication: 37 week antenatal loss

Banu Öndeş

doi:10.17077/2154-4751.1320

Abstract

Introduction: Investigation of antenatal fetal loss case due to the umbilical cord wrapping 3 times around the neck of a 37-week fetus and being truly knotted in 2 places in light of the literature. Case: A 35-year old G:4 P:3 patient applied with the complaint of no movement of the baby for 3 days. Ultrasonography observed fetal biometric measurements in accordance with 37 weeks gestation, 3210 gr weight with normal amount of amniotic fluid. Doppler USG observed an in utero mort fetus with 3 loops of nuchal cord. The placenta was observed on the anterior wall. Examination one week previously did not identify cord around the fetal neck, and biophysical profile was evaluated as 10 points. During cesarean section the cord was found to be fully wrapped around the neck of the fetus 3 times and true knots were found at 2 places in the cord. The total length of the umbilical cord was 125 cm and a wide and deep mark was left on the fetus’ neck. Discussion: Observed in 1 of 3 pregnancies and generally benign, nuchal cord is a complication that rarely causes antenatal loss. 1 Clinics of Gynecology and Obstetrics, Uskudar

Highlights

IntroductionThe umbilical cord wrapping around the neck of the fetus is observed in 23-33% of all pregnancies and is generally benign.[1]
Investigation of antenatal fetal loss case due to the umbilical cord wrapping 3 times around the neck of a 37-week fetus and being truly knotted in 2 places in light of the literature.Case: A 35-year old G:4 P:3 patient applied with the complaint of no movement of the baby for 3 days
The umbilical cord wrapping around the neck of the fetus is observed in 23-33% of all pregnancies and is generally benign.[1]

Summary

Introduction

The umbilical cord wrapping around the neck of the fetus is observed in 23-33% of all pregnancies and is generally benign.[1]. Despite not causing any adverse perinatal outcome, nuchal cord may sometimes lead to undesirable results.[3] Nuchal umbilical cord implies a possible fetal risk and could be a reason for intrauterine fetal death.[4] In 5-18% of all cord complications, fatal perinatal asphyxia is observed.[5] This case report evaluates a fetal loss where the cord was wrapped 3 times around the neck and 2 true knots in the cord in a 37 week pregnancy, with no Please cite this paper as: Öndes B. The. A rare fetal umbilical cord complication patient was called for NST check-up but did not attend. A rare fetal umbilical cord complication patient was called for NST check-up but did not attend When she applied 10 days later USG measured fetal weight as 3100 g. When the cord was removed deep circular marks were observed on the neck of the fetus and the umbilical cord length was measured as 125 cm. (Figure 1,2,3)

Findings

Discussion

Conclusion