[Spontaneous umbilical cord hematoma, a rare cause of acute fetal distress]. / L'hématome spontané du cordon: une cause rare de souffrance foetale aiguë.
Arch Pediatr
; 2(12): 1182-3, 1995 Dec.
Article
em Fr
| MEDLINE
| ID: mdl-8547999
ABSTRACT
BACKGROUND:
Spontaneous umbilical cord hematoma is a rare life-threatening gestational accident. CASE REPORT A 26 year-old primipara was examined at 38 weeks of gestation for fetal monitoring. There were a number of fetal decelerations with loss of baseline variability. Cesarean section performed for acute fetal distress resulted in a male infant with an Apgar score of 3 at 1 minute and 7 at 5 minutes and neonatal anemia (Hb 11.6 g/l). Four umbilical cord hematomas were observed. Microscopic examination revealed a ruptured umbilical vein without other abnormality. Post natal evolution was marked by hypoxic-ischemic encephalopathy and death.CONCLUSION:
Spontaneous umbilical cord hematoma is rare (1/5,500 births) and often due to rupture of the umbilical vein. Risk factors are shortness or traction of the cord, post-maturity and infection. Umbilical cord hematomas are usually responsible for severe fetal distress or death.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cordão Umbilical
/
Sofrimento Fetal
/
Hematoma
Tipo de estudo:
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Newborn
/
Pregnancy
Idioma:
Fr
Revista:
Arch Pediatr
Ano de publicação:
1995
Tipo de documento:
Article
País de afiliação:
França