Abstract

Umbilical cord accidents

Highlights

  • The Stillbirth Collaborative Research Network recently reported on the probable or possible cause of death of 512 stillbirths whose mothers consented to complete postmortem examination [1]

  • One of the first published accounts of an Umbilical cord accidents (UCA) in western medical writings was by William Smellie his Treatise on Midwifery in 1750, London, England: a nuchal cord associated stillbirth

  • One of the first published drawings of an UCA was by Andrew Bell in the Encyclopedia Britanica 1st edition 1769 Edinburgh, Scotland, depicting a fetal death with a combination of one nuchal cord, a body loop and a true knot (currently on the cover of the Royal College of Obstetricians and Gynaecologists (UK) brochure)

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Summary

Introduction

The Stillbirth Collaborative Research Network recently reported on the probable or possible cause of death of 512 stillbirths whose mothers consented to complete postmortem examination [1]. One of the first published accounts of an UCA in western medical writings was by William Smellie his Treatise on Midwifery in 1750, London, England: a nuchal cord associated stillbirth. The 18-20 week ultrasound review should include the umbilical cord, its characteristics and description of its placental and fetal attachment. Absence of twisting often is associated with a decrease in fetal movement and a poor pregnancy prognosis.

Results
Conclusion
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