scholarly journals Spontaneous umbilical cord hematoma causing still birth: a case report in Madagascar

2018 ◽  
Vol 7 (5) ◽  
pp. 2031
Author(s):  
Lyn Z. A. Rabetsimamanga ◽  
Hary F. Rabarikoto ◽  
Eddie B. Rekoronirina ◽  
Hery R. Andrianampanalinarivo
Keyword(s):  
Case Report ◽  
Umbilical Cord ◽  
Fetal Heart ◽  
Fetal Distress ◽  
Fetal Hypoxia ◽  
Female Fetus ◽  
Still Birth ◽  
Heart Monitoring ◽  
Short Time ◽  
Uncommon Complication

Spontaneous umbilical cord hematoma is uncommon complication during delivery. It is responsible for severe fetal distress or death. We report a case of a 28 year-old primigravida Malagasy woman at the 37th weeks of gestation. She was admitted in the delivery room for beat oscillating on the fetal heart monitoring at the beginning of labour. Cesarean section was indicated for acute fetal distress in monitoring at dilation 5cm of the cervix traduced by some decelerations.  But she gives birth to a still born female fetus by vaginal way short time after. A 5,5 cm hematoma was discovered on umbilical cord. This still birth may be due to anoxia during acute compression of the umbilical vessels by the hematoma. So, placental and cord examinations in cases of unexplained fetal hypoxia and stillbirth are very important.

Massive Extra-Abdominal Umbilical Vein Varix: A Case Report

2021 ◽  
pp. 1-4
Author(s):  
Josef Jackson ◽  
Eumenia Castro ◽  
Michael A. Belfort ◽  
Alireza A. Shamsirshaz ◽  
Ahmed A. Nassr ◽  
...  
Keyword(s):  
Case Report ◽  
Umbilical Cord ◽  
Neonatal Period ◽  
Umbilical Vein ◽  
Fetal Distress ◽  
Fetal Anemia ◽  
Pathologic Examination ◽  
Fetal Demise ◽  
Increased Risk ◽  
Umbilical Vein Varix

Umbilical vein varices are rare umbilical cord anomalies that typically occur intra-abdominally. Extra-abdominal umbilical vein varices are exceedingly rare and usually diagnosed postnatally on gross pathologic examination. Umbilical vein varices have been associated with increased risk of fetal anemia, cardiac abnormalities, and intrauterine fetal demise. This case report discusses a patient who presented with a massive extra-abdominal umbilical vein varix, whose infant was ultimately delivered due to fetal distress and died in the neonatal period. This report also discusses associated fetal conditions and guidelines for antenatal testing and surveillance of known umbilical vein varices.

scholarly journals Marginal umbilical cord insertions in a bipartite placenta responsible for placenta abruption: a case report

2021 ◽  
Vol 12 (5) ◽  
pp. 309-310
Author(s):  
Elie Nkwabong ◽  
Sylvie Borassi
Keyword(s):  
Case Report ◽  
Cesarean Section ◽  
Umbilical Cord ◽  
Fetal Heart ◽  
Past History ◽  
Placenta Previa ◽  
Blood Clot ◽  
Normal Pregnancy ◽  
African Woman ◽  
Emergency Cesarean

Hemorrhage is one of the major causes of maternal death. Main causes of APH are placenta previa, placenta abruption and uterine rupture. Rare causes of placenta abruption include marginal and velamentous umbilical cord insertions. We hereby present a case of placenta abruption due to marginal umbilical cord insertions occurring on a bipartite placenta. A 40-year-old nulliparous African woman, 35 weeks pregnant consulted for dark red pervaginal bleeding, which occurred recently. Past history was unremarkable. Her pregnancy was well followed up. A recent ultrasound scan revealed a fundal inserted placenta. Physical examination revealed a fundal height of 37 cm, no uterine activity, normal fetal heart tones and a blood-stained vulva. Our diagnosis was a mild placenta abruption. An obstetrical ultrasound carried out revealed a normal pregnancy and a retroplacental blood clot of 11mm. A safe baby was born through an emergency cesarean section which revealed a normally inserted bipartite placenta with a 10% placenta detachment located on one placenta half and two cords inserted marginally. The postoperative period was uneventful and she was discharged five days after cesarean section. This case report shows that marginal cord insertion, which can lead to placenta abruption, can be also observed on a bipartite placenta.

Cesarean section for suspected fetal distress, continuous fetal heart monitoring and decision to delivery time

2008 ◽  
Author(s):  
K. K. Roy ◽  
Jinee Baruah ◽  
Sunesh Kumar ◽  
A. K. Deorari ◽  
J. B. Sharma ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Fetal Heart ◽  
Fetal Distress ◽  
Delivery Time ◽  
Heart Monitoring

Cesarean section for suspected fetal distress, continuous fetal heart monitoring and decision to delivery time

2008 ◽  
Vol 75 (12) ◽  
pp. 1249-1252 ◽  
Author(s):  
K.K. Roy ◽  
Jinee Baruah ◽  
Sunesh Kumar ◽  
A.K. Deorari ◽  
J.B. Sharma ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Fetal Heart ◽  
Fetal Distress ◽  
Delivery Time ◽  
Heart Monitoring

scholarly journals Velamentous Cord Insertion – A Case Report

2018 ◽  
Vol 3 (1) ◽  
Keyword(s):  
Case Report ◽  
Umbilical Cord ◽  
Fetal Death ◽  
Fetal Distress ◽  
Central Portion ◽  
Fetal Membranes ◽  
Umbilical Vessels ◽  
Strong Case ◽  
Variable Distance ◽  
Velamentous Cord Insertion

Normally the umbilical cord is inserted into the central portion of placenta; at times the cord is inserted distally from the margin; onto the fetal membranes, called velamentous insertion. After the insertion the umbilical vessels traverse unsupported for a variable distance between amnion and chorion before reaching the placenta. These vessels can get compressed and torn especially in labour resulting in acute fetal distress and at times fetal death. We report a case where the cause of fetal distress during labour was compression of these vessels. There is a strong case of finding out site of cord insertion when the antenatal cases are undergoing routine sonography. Once abnormal insertion is detected then these pregnancies should be monitored closely as the chances of both antenatal and intranatal complications are higher in such pregnancies.

scholarly journals Fetal Heart Rate Extraction Based on Wavelet Transform to Prevent Fetal Distress In Utero

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Mengni Zhu ◽  
Liping Liu
Keyword(s):  
Heart Rate ◽  
Wavelet Transform ◽  
Fetal Heart Rate ◽  
Fetal Heart ◽  
Fetal Distress ◽  
In Utero ◽  
Control Group ◽  
Observation Group ◽  
Peak Point ◽  
Heart Monitoring

In order to improve the effective extraction of fetal heart rate and prevent fetal distress in utero, a study of fetal heart rate feature extraction based on wavelet transform to prevent fetal distress in utero was proposed. This paper adopts a fetal heart rate detection method based on the maximum value of the binary wavelet transform modulus. The method is simulated by the Doppler fetal heart signal obtained from the clinic. Compared with the original curve, the transformed curve can roughly see the change rule of the original signal and identify the peak point of the signal, but due to the large disturbance of the peak point, the influence on the computer processing is also great. The periodicity of the transformed signal is greatly enhanced, making it easier to deal with the computation. A total of 300 pregnant women with full-term fetal heart monitoring from January 2018 to January 2020 were selected as the research subjects and divided into the observation group and the control group. The observation group consisted of 100 patients with abnormal fetal heart monitoring, and the control group consisted of 200 patients with normal fetal heart monitoring. The uterine contractions and fetal heart rate were recorded, and the incidence of fetal distress, cesarean section, neonatal asphyxia, and amniotic fluid and fecal contamination were observed. The incidence of fetal distress, cesarean section, neonatal asphyxia, and amniotic fluid fecal stain in the observation group were significantly higher than those in the control group. Fetal heart monitoring can accurately judge the situation of the fetus in pregnant women and timely diagnose the abnormal fetal heart rate, which has a better effect on the prognosis of perinatal infants and can reduce their mortality. It can effectively solve the problems existing in the autocorrelation algorithm and extract the fetal heart rate more accurately. It is an effective improved scheme of fetal heart rate extraction. It is very helpful in preventing fetal distress in utero.

scholarly journals Doppler Ultrasound Imaging Combined with Fetal Heart Detection in Predicting Fetal Distress in Pregnancy-Induced Hypertension under the Guidance of Artificial Intelligence Algorithm

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Su Liu ◽  
Yue Sun ◽  
Na Luo
Keyword(s):  
Umbilical Artery ◽  
Fetal Heart ◽  
Fetal Distress ◽  
Current Status ◽  
Control Group ◽  
Observation Group ◽  
Pregnancy Induced Hypertension ◽  
Heart Monitoring ◽  
Induced Hypertension ◽  
D Values

This study was to improve the feasibility and economic benefits of intelligent medical system Doppler ultrasound (DUS) imaging technology combined with fetal heart detection to predict the fetal distress in pregnancy-induced hypertension (PIH), so as to reduce the risk of deterioration of the patient’s condition. The characteristics of DUS images were analyzed, and a diffusion filter reducing the specificity was adopted to improve the smooth speckle noise of DUS images. 120 pregnant women in hospital were the subjects of the study, all of whom received ultrasound cord blood flow testing and fetal heart monitoring. 88 PIH patients with fetal distress were diagnosed and included in the observation group, and 32 healthy pregnant women tested during the same period were identified as the control group. Clinical data were reviewed and analyzed. The diagnostic rates of fetal distress by simple fetal heart monitoring and DUS detection combined with fetal heart monitoring were compared. The results showed that 26.7% of fetal distress were diagnosed by fetal heart monitoring alone, and 73.3% of fetal distress were diagnosed by combined testing, so the diagnostic accuracy of the combined detection method was greatly higher than the single fetal heart detection ( P < 0.05 ). The Pulsatility index (PI), resistance index (RI), and S/D values detected by the umbilical artery in the observation group were 1.48, 0.85, and 4.31, respectively. The PI, RI, and S/D values detected by the umbilical artery in the control group were 0.96, 0.64, and 3.59, respectively. The results of arterial detection were significantly higher than those of the control group, and the difference was of significant scientific significance ( P < 0.05 ). In summary, the PI and RI values of the middle cerebral artery (MCA) detected by DUS diagnosis can effectively reflect the current status of the fetus in the uterus and reduce the mortality of the fetus. The images guided by DUS imaging technology can clearly show the current status of the fetus in the uterus, effectively improve the medical diagnostic efficiency, and have important reference value for the development of intelligent medical equipment.

Sign in / Sign up

Export Citation Format

Share Document