scholarly journals True umbilical cord knot and tight nuchal cord loops as a cause of fetal distress and emergent cesarean delivery: A Case report

2021 ◽  
Keyword(s):  
Case Report ◽  
Cesarean Delivery ◽  
Umbilical Cord ◽  
Fetal Distress ◽  
Nuchal Cord

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 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.

scholarly journals Case Report of Nuchal Cord Associated Stillbirth: What to Learn From the Complaints to the Diagnosis?

2020 ◽  
Vol 4 (2) ◽  
pp. 01-03
Author(s):  
Philippe PA
Keyword(s):  
Case Report ◽  
Umbilical Cord ◽  
Cardiac Activity ◽  
Limited Resource ◽  
Male Infant ◽  
Foetal Death ◽  
Third Trimester ◽  
Nuchal Cord ◽  
History Of ◽  
Normal Placenta

Nuchal cord is the umbilical cord accident least associated with stillbirths. It is a common occurrence; however, the expertise to diagnose multiple and tight loops on ultrasound is minimal, especially in limited-resource settings. We report a 30 year-old gravida 1, who presented at a gestation of 39/40+6/7 with a 2 day history of inability to appreciate foetal movements. An urgent obstetric ultrasound revealed absent foetal cardiac activity, reduced amniotic fluid and normal placenta but the report had no comments on the umbilical cord. She delivered a macerated male infant with a tight cord around the neck thrice. This case report highlights the importance of third trimester sonography screening of umbilical cord abnormalities and the mechanism of intrauterine foetal death associated with umbilical cord accidents.

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 Perinatal outcome in pregnancies with nuchal cord: prospective cross-sectional study at tertiary care institute

2021 ◽  
Vol 10 (6) ◽  
pp. 2368
Author(s):  
Zaneta Dias ◽  
Shailesh Kore
Keyword(s):  
Umbilical Cord ◽  
Apgar Score ◽  
Perinatal Outcome ◽  
Statistical Significance ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Fetal Distress ◽  
Common Finding ◽  
Control Group ◽  
Nuchal Cord

Background: The umbilical cord around the neck of fetus at the time of birth is nuchal cord (NC). NC is blamed as a major cause of fetal distress and perinatal mortality. The present study was undertaken to found out the incidence of nuchal cord at delivery and its perinatal outcomes in babies born with NC.Methods: Total 500 low risk women delivered either vaginally or abdominally after 34 completed weeks of gestation were included in the study. Cases with NC at the time of delivery were taken as study group and the cases which did not have NC served as control group. Various obstetric characteristics and perinatal outcome were studied.Results: The frequency of NC found was 35.6% of all the deliveries. Women with age between 21-25 years showed the maximum presence of NC (11.4%) and NC mostly seen between 38-40 weeks of gestation (24.8%). Presence of NC had no statistical significance on the maternal age, parity, period of gestation, mode of delivery, presence of meconium stained amniotic fluid and fetal distress. Prolonged duration of labour was seen in the presence of NC. The presence of NC was directly proportional to the length of cord and umbilical cord coiling. Perinatal outcome of babies in terms of Apgar score and seen as NICU admissions rate were not statistically significant. Tight NC had a poor Apgar score needed more intensive care.Conclusions: NC is a common finding at the time of delivery. The present study suggests that NC is not associated with significant perinatal outcome.

scholarly journals Formulating an anesthetic plan using a list of high-risk pregnant women on cloud-based business communication tools: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Junnosuke Kimura ◽  
Kento Kawamura ◽  
Manami Minoura ◽  
Ayako Hiramoto ◽  
Yoshifumi Suga ◽  
...  
Keyword(s):  
Case Report ◽  
High Risk ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Business Communication ◽  
Communication Tools ◽  
Case Presentation ◽  
Emergency Cesarean

Abstract Background We report a case in which a list of high-risk pregnant women on cloud-based business communication tools was useful in formulating an anesthetic plan for unscheduled cesarean section. Case presentation A 37-year-old woman, who had been prescribed icosapentate for hypertriglyceridemia, received an antenatal anesthetic evaluation for possible cesarean delivery, and it was agreed that the anesthetic method for emergency cesarean section was general anesthesia if the surgery would take place within 7 days after the discontinuation of the drug, and regional anesthesia if it would take place any time later. Then this agreement was uploaded on the cloud-based business communication tools, and updated until she delivered her baby via unscheduled cesarean section. Conclusions A cloud-based business communication tools was useful in formulating an anesthesia plan for a patient undergoing a cesarean delivery. However, more discussion would be needed to utilize it in security.

scholarly journals Anesthetic management for cesarean delivery in a woman with congenital atlantoaxial dislocation and Chiari type I anomaly: a case report and literature review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuyan Nie ◽  
Weimin Zhou ◽  
Shaoqiang Huang
Keyword(s):  
Case Report ◽  
Cesarean Delivery ◽  
Anesthetic Management ◽  
Neurological Complications ◽  
Atlantoaxial Dislocation ◽  
Epidural Needle ◽  
Team Approach ◽  
Anesthetic Techniques ◽  
Type I ◽  
Combined Spinal Epidural Anesthesia

Abstract Background The preferable choice of anesthesia for the patients with congenital atlantoaxial dislocation (CAAD) and type I Arnold Chiari malformations (ACM-I) has been a very confusing issue in clinical practice. We describe the successful administration of combined spinal-epidural anesthesia for a woman with CAAD and ACM-1 accompanied by syringomyelia. Case presentation Our case report presents the successful management of a challenging obstetric patient with CAAD and ACM-1 accompanied by syringomyelia. She had high risks of difficult airway and aspiration. The injection of bolus drugs through the spinal or epidural needle may worsen the previous neurological complications. The patient was well evaluated with a multidisciplinary technique before surgery and the anesthesia was provided by a skilled anesthesiologist with slow spinal injection. Conclusions An interdisciplinary team approach is needed to weigh risks and benefits for patients with CAAD and ACM-1 undergoing cesarean delivery. Therefore, an individual anesthetic plan should be made basing on the available anesthetic equipments and physicians’ clinical experience on anesthetic techniques.

A case report and review of the literature: 3 infants of umbilical cord ulcerations associated with polyhydramnios

Placenta ◽  
2016 ◽  
Vol 46 ◽  
pp. 116-117
Author(s):  
Hirokazu Tanaka ◽  
Akiko Omoto ◽  
Hirokazu Usui ◽  
Asuka Sato ◽  
Shozu Makio
Keyword(s):  
Case Report ◽  
Umbilical Cord ◽  
Review Of The Literature

Chikungunya–dengue co-infection during pregnancy requiring preterm Caesarean section: first case report from Bangladesh

2017 ◽  
Vol 48 (3) ◽  
pp. 234-235 ◽  
Author(s):  
Muhammad Abdur Rahim ◽  
Shahana Zaman ◽  
Nasreen Sultana ◽  
Ariful Islam ◽  
Khwaja Nazim Uddin
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Fetal Distress ◽  
Emergency Caesarean Section ◽  
Emergency Caesarean ◽  
First Case

We report the first case of chikungunya-dengue co-infection during pregnancy requiring emergency Caesarean section (CS) because of fetal distress in a Bangladeshi primigravida. Though previously unreported, this situation may become increasingly common.

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