scholarly journals Umbilical cord torsion leading to intrauterine fetal death

2019 ◽  
Vol 11 (2) ◽  
pp. 5-8
Author(s):  
U. Mohammed ◽  
A. A. Panti ◽  
K. Abdullahi ◽  
O. K. Afolabi ◽  
H. Sani ◽  
...  
Keyword(s):  
Umbilical Cord ◽  
Fetal Death ◽  
Intrauterine Fetal Death

scholarly journals TWISTING OF THE UMBILICAL CORD CAUSING INTRAUTERINE FETAL DEATH

2012 ◽  
Vol 3 (8) ◽  
Author(s):  
Vidyadhar B Bangal ◽  
Kunaal K Shinde ◽  
Satyajit P Gavhane ◽  
S K Borawake ◽  
Chandaliya R M
Keyword(s):  
Umbilical Cord ◽  
Fetal Death ◽  
Intrauterine Fetal Death

Intrauterine fetal death caused by large placental chorioangioma and hypercoiled umbilical cord: A case report

Placenta ◽  
2016 ◽  
Vol 46 ◽  
pp. 110
Author(s):  
Genki Sugita ◽  
Masaaki Tanaka ◽  
Takahiro Kanai ◽  
Hiroto Kobayashi ◽  
Yoshiaki Hori ◽  
...  
Keyword(s):  
Case Report ◽  
Umbilical Cord ◽  
Fetal Death ◽  
Intrauterine Fetal Death

scholarly journals Ultrasound Assessment of the Umbilical Cord

2014 ◽  
Vol 8 (4) ◽  
pp. 382-390
Author(s):  
Junichi Hasegawa
Keyword(s):  
Umbilical Cord ◽  
Obstet Gynecol ◽  
Fetal Death ◽  
Current Knowledge ◽  
Ultrasound Diagnosis ◽  
Intrauterine Fetal Death ◽  
Perinatal Morbidity ◽  
Safe Delivery ◽  
Nuchal Cord ◽  
Ultrasound Assessment

ABSTRACT As a nonreassuring fetal status and intrauterine fetal death are often caused by umbilical cord abnormalities, obtaining an ultrasound diagnosis of umbilical cord abnormalities is required for a safe delivery. We believe that the prenatal detection of umbilical cord abnormalities and appropriate management of the delivery improves perinatal morbidity and mortality rates. In the present review, the protocol for ultrasound diagnosis and management of umbilical cord abnormalities, including abnormalities of cord insertion, hypercoiled cord, nuchal cord and fore-lying umbilical cord, is discussed considering current knowledge regarding the physiological and pathological aspects of these umbilical cord abnormalities. How to cite this article Hasegawa J. Ultrasound Assessment of the Umbilical Cord. Donald School J Ultrasound Obstet Gynecol 2014;8(4):382-390.

scholarly journals UMBILICAL CORD RESTRUCTURE: AN UNCOMMON CAUSE OF INTRAUTERINE FETAL DEATH.

2018 ◽  
Vol 6 (1) ◽  
pp. 1492-1494
Author(s):  
Fatimael mangoub ◽  
Keyword(s):  
Umbilical Cord ◽  
Fetal Death ◽  
Intrauterine Fetal Death

scholarly journals Evaluation of Sonographic Measurement of Umbilical Cord Coiling Index in the Second Trimester and Its Correlation to Perinatal Outcome

2021 ◽  
Vol 5 (05) ◽  
pp. 01-07
Author(s):  
Naglaa Ali M. Hussein ◽  
Mohammed H. El Refaey
Keyword(s):  
Antenatal Care ◽  
Umbilical Cord ◽  
Fetal Growth ◽  
Apgar Score ◽  
Fetal Death ◽  
Perinatal Outcomes ◽  
Fetal Distress ◽  
Intrauterine Fetal Death ◽  
Ultrasound Scan ◽  
Umbilical Cords

The umbilical cord represents a unique lifeline between the fetus and mother and contains two arteries and one vein wrapped up in Wharton’s jelly with moderate twists. Umbilical coiling abnormalities can result in fetal growth restriction, fetal distress, or intrauterine fetal death. Hypocoiled umbilical cords are associated with intrauterine fetal death (IUFD), fetal growth restriction, fetal distress, low Apgar scores, fetal congenital anomalies, and abnormal insertion of the umbilical cord. Hypercoiled umbilical cords are associated with IUFD, fetal distress, asphyxia, fetal congenital anomalies, and the presence of a single umbilical artery. The aim of this work is to determine if the umbilical Cord coiling index measurement during second trimester ultrasound scan can predict perinatal outcome. Seventy eight healthy uncomplicated pregnant women who regularly attended the antenatal care clinic for antenatal care and to do anomaly ultrasound scan on her baby in 2nd trimester. All participants were informed about the aims and the procedures of the study and signed an informed consent form prior to beginning. Regular antenatal cThe umbilical cord represents a unique lifeline between the fetus andmother and contains two arteries and one vein wrapped up in Wharton’s jelly with moderate twists. Umbilical coiling abnormalities canresult in fetal growth restriction, fetal distress, or intrauterine fetal death. Hypocoiled umbilical cords are associated with intrauterine fetal death (IUFD), fetal growth restriction, fetal distress, low Apgar scores, fetal congenital anomalies, and abnormal insertion of the umbilical cord. Hypercoiled umbilical cords are associated with IUFD, fetal distress, asphyxia, fetal congenital anomalies, and the presence of a single umbilical artery. The aim of this work is to determine if the umbilical Cord coiling index measurement during second trimester ultrasound scan can predict perinatal outcome. Seventy eight healthy uncomplicated pregnant women who regularly attended the antenatal care clinic for antenatal care and to do anomaly ultrasound scan on her baby in 2nd trimester. All participants were informed about the aims and the procedures of the study and signed an informed consent form prior to beginning. Regular antenatal care visit was done every two weeks till delivery with assessment of perinatal outcomes regarding: gestational age at delivery, fetal monitoring by CTG, method of delivery, meconium staining amniotic fluid or not, examination by apgar score at 1stand 5th minute, birth weight, admission to NICU or not and perinatal death. According to umbilical cord index, of total 78 pregnant women who completed the study 62 (79.2%) were having normal UC coiling, 10 of cases (12.8%) were having hypocoiling and 6 (7.7%) were having hypercoiling. Our results showed that hypo- and hyper-coiling were associated with increased incidence of preterm labor (32-36 weeks) “22.2%and 40% respectively” while normo-coiling was associated with lesser incidence “2%”. Both hypocoiling “10%” and hypercoiling “16.7%”groups showed higher incidence of IUGR when compared with the normocoiling group “1.6%”. APGAR score at minute one was significantly lower in the both hypocoiling and hypercoiling groups than the normocoiling group with p- value: 0.005. While at minute five, there was no significant difference between the three groups of the study. Conclusion: The abnormal umbilical coiling index “< 10th percentile or > 90th percentile” is associated with adverse perinatal outcomes. Therefore, early evaluation on Umbilical cord Index in the 2nd trimester can identify fetuses who are at risk and thus help in further management.are visit was done every two weeks till delivery with assessment of perinatal outcomes regarding: gestational age at delivery, fetal monitoring by CTG, method of delivery, meconium staining amniotic fluid or not, examination by apgar score at 1stand 5th minute, birth weight, admission to NICU or not and perinatal death. According to umbilical cord index, of total 78 pregnant women who completed the study 62 (79.2%) were having normal UC coiling, 10 of cases (12.8%) were having hypocoiling and 6 (7.7%) were having hypercoiling. Our results showed that hypo- and hyper-coiling were associated with increased incidence of preterm labor (32-36 weeks) “22.2%and 40% respectively” while normo-coiling was associated with lesser incidence “2%”. Both hypocoiling “10%” and hypercoiling “16.7%”groups showed higher incidence of IUGR when compared with the normocoiling group “1.6%”. APGAR score at minute one was significantly lower in the both hypocoiling and hypercoiling groups than the normocoiling group with p- value: 0.005. While at minute five, there was no significant difference between the three groups of the study. Conclusion: The abnormal umbilical coiling index “< 10th percentile or > 90th percentile” is associated with adverse perinatal outcomes. Therefore, early evaluation on Umbilical cord Index in the 2nd trimester can identify fetuses who are at risk and thus help in further management.

Disentanglement of Discordant Monochorionic-Monoamniotic Twins in a Triplet Pregnancy: An Innovative Approach Utilizing Fetoscopic Laser Coagulation with Micro-Laparoscopic Scissor Dissection

2015 ◽  
Vol 40 (4) ◽  
pp. 303-305
Author(s):  
Nadia B. Kunzier ◽  
Baraa Allaf ◽  
Martin R. Chavez ◽  
Diana Abenanti-Richmond ◽  
Anthony M. Vintzileos
Keyword(s):  
Umbilical Cord ◽  
Fetal Death ◽  
Neurological Injury ◽  
Intrauterine Fetal Death ◽  
Laser Coagulation ◽  
Perinatal Morbidity ◽  
Multiple Pregnancies ◽  
Triplet Pregnancy ◽  
Increased Risk ◽  
Fetoscopic Laser Coagulation

Triplet gestations are associated with high perinatal morbidity. Dichorionic-diamniotic triplet pregnancies with growth discordance, polyhydramnios and structural anomalies carry a significantly increased risk of fetal morbidity and mortality from the baseline risks of high-order multiple pregnancies. Intrauterine fetal death of one fetus of a monochorionic pregnancy may cause neurological injury to the surviving fetus. We present a case where an innovative technique was created combining use of the fetoscopic laser and miniature laparoscopic instruments to selectively reduce and disentangle the umbilical cord of the acranial growth-restricted fetus from the structurally normal fetus's umbilical cord in a dichorionic-diamniotic triplet pregnancy.

Causes of intrauterine fetal death are changing in recent years

2018 ◽  
Vol 46 (1) ◽  
pp. 97-101 ◽  
Author(s):  
Hiroko Takita ◽  
Junichi Hasegawa ◽  
Masamitsu Nakamura ◽  
Tatsuya Arakaki ◽  
Tomohiro Oba ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Umbilical Cord ◽  
Medical Records ◽  
Fetal Death ◽  
Chromosomal Abnormalities ◽  
Intrauterine Fetal Death ◽  
Fetal Abnormalities ◽  
Perinatal Center ◽  
Umbilical Cord Entanglement ◽  
Velamentous Cord Insertion

AbstractObjective:To investigate, how causes of intrauterine fetal death (IUFD) have changed in recent years with the advancement of prenatal diagnosis at a single perinatal center in Japan.Methods:Medical records were retrospectively reviewed for all cases of IUFDs that occurred between 2001 and 2014. The most commonly associated causes of fetal deaths were compared between 2001–2007 and 2008–2014.Results:The number of IUFD after 20 weeks’ gestation/all deliveries in our center was 38/6878 cases (0.53%) in 2001–2007 and 35/7326 (0.48%) in 2008–2014. The leading cause of IUFD in 2001–2007 was fetal abnormalities (43.2%), the prevalence of which was only 8.6% in 2008–2014 (P<0.01). Meanwhile, the prevalence of umbilical cord abnormalities was relatively increased from 30.0% in 2001–2007 to 54.5% in 2008–2014 (P=0.06). In 2001–2007, chromosomal abnormalities were frequently observed (56% of IUFDs due to fetal abnormalities). Hyper-coiled cord (HCC) and umbilical ring constrictions were the most frequent cause of IUFD in both periods. The relatively decreased prevalence of IUFD due to velamentous cord insertion and umbilical cord entanglement, HCC and umbilical cord constriction was increased.Conclusions:The prevalence of IUFD due to fetal abnormalities was reduced, but IUFD associated with umbilical cord abnormalities tended to increase relatively.

scholarly journals Intrauterine fetal death due to true knot on umbilical cord: Report of two cases

2020 ◽  
Vol 7 (1) ◽  
pp. 46
Author(s):  
Rahul Khatri ◽  
Bhoomika Jain ◽  
Devadatta Dabholkar ◽  
Sushil Kumar
Keyword(s):  
Umbilical Cord ◽  
Fetal Death ◽  
Intrauterine Fetal Death
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