Document Detail


Chronic umbilical cord entanglements causing intrauterine fetal demise in the second trimester.
MedLine Citation:
PMID:  21105767     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
ABSTRACT Entanglement of the umbilical cord with fetal body parts is known to occur in early pregnancy. This can potentially compromise the cord blood flow and cause fetal demise. We report 3 instances of intrauterine fetal deaths in the 2nd trimester of pregnancy with longstanding cord entanglement. The cord had left impressions of entanglement on the entrapped growing fetal part. Restricted movements of the fetus due to cord entanglement led to reduced spiraling of the umbilical cord. Our case series demonstrates that tight entanglement of fetal body parts by the umbilical cord can cause fetal demise in the 2nd trimester. This event is associated with a straight umbilical cord. Thus, the presence of reduced spiraling in intrauterine fetal demise warrants a search for possible cord entanglement along with established causes, such as chromosomal and congenital anomalies.
Authors:
Prakash S Gambhir; Sanjay Gupte; Amit D Kamat; Amit Patankar; Vinayak D Kulkarni; Mrudula A Phadke
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Publication Detail:
Type:  Journal Article     Date:  2010-11-24
Journal Detail:
Title:  Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society     Volume:  14     ISSN:  1093-5266     ISO Abbreviation:  Pediatr. Dev. Pathol.     Publication Date:    2011 May-Jun
Date Detail:
Created Date:  2011-08-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9809673     Medline TA:  Pediatr Dev Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  252-4     Citation Subset:  IM    
Affiliation:
1 Birthright Genetic Clinic and Maharashtra University of Health Sciences, Yashokamal, 25/14, Erandavane, Pune-411004, India.
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