3D-Ultrasound Detection of Fetal Grasping of the Umbilical Cord and Fetal Outcome

Habek, Dubravko; Kulaš, Tomislav; Selthofer, Robert; Rosso, Marinela; Popovic, Zoran; Petrović, Davor; Ugljarević, Margareta

doi:10.1159/000092460

Cited by 5 publications

(4 citation statements)

References 15 publications

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“…An accurate antenatal diagnosis of umbilical cord abnormalities represents a significant challenge. Detection of nuchal cord or cord entanglement can be diagnosed by careful color Doppler studies and four-dimensional sonography [13]. Although nuchal cord detection with Doppler ultrasonography is easy, diagnosing cord entanglement around other parts of the body could sometimes be quite difficult.…”

Section: Discussionmentioning

confidence: 99%

Third trimester intrauterine fetal death caused by complex cord entanglement

Grigore¹,

Scripcaru²

2013

RJLM

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Umbilical cord entanglement occurs during early pregnancy. Typically, fetal asphyxia and demise because of umbilical cord entanglement is a unique characteristic of mono-amniotic twin pregnancies. We describe a case of a woman in late pregnancy that presented to medical consult at 36 weeks of amenorrhea because of the absence of fetal movements. The ultrasound found no fetal heartbeat and because the patient had two previous cesarean sections, another one was performed. We discovered a complex entanglement of the umbilical cord around the leg of the fetus that proved to be the cause of the fetal demise. Cord entanglement must be considered in cases of unexplained intrauterine fetal death. For all cases of intrauterine demise, it is important to look for marks of this condition around different parts of the body.

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Section: Discussionmentioning

confidence: 99%

Third trimester intrauterine fetal death caused by complex cord entanglement

Grigore¹,

Scripcaru²

2013

RJLM

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“…2), manipulate, and even squeeze the umbilical cord. Partial or intermittent complete cord occlusion alters the blood flow in the umbilical cord, increases the afterload, and decreases (Ball and Parer 1992), which results in increased vagal activity causing variable fetal heart rate decelerations by up to 15-60 beats per minute (Petrikovsky and Kaplan 1993;Habek et al 2006). Such a significant heart rate deceleration may result in diminished fetal cardiac output due to a poorly developed Frank-Starling mechanism at low fetal heart rates.…”

Section: Arm Hand and Finger Movementsmentioning

confidence: 99%

Fetal Movements. Though They May Be Spontaneous, Yet There is Method in Them

Einspieler

Prechtl

2010

Medical Radiology

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“…[31][32][33] One report describes the 3DUS detection of umbilical cord compression by fetal grasping with good fetal outcome. 34 In addition, evaluation of nuchal cord at birth has been evaluated with 3DUS and compared to 2DUS findings by Hanaoka et al: 35 the authors concluded that 3DUS imaging did not provide more useful diagnostic information compared with two-dimensional and colour Doppler ultrasound for detecting nuchal cord in utero. However, better visualization of the nuchal umbilical cord by 3DUS was reported subjectively by the sonographers.…”

Section: Umbilical Cordmentioning

confidence: 99%

Three Dimensional Ultrasound: An Overview of Its Clinical Use

Deurloo

Kist

Vugt

2007

Fet. Mat. Med. Rev.

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Although three-dimensional ultrasound (3DUS) was already being used in the early 1980's 1-3 and the first commercially available three-dimensional scanner was presented in 1989 in Paris at the International Radiology Congress 4 , it has only been in the recent decade that the technology has found its way into clinical applications. This rapid development is mainly due to the equally rapid development of computer processor technology, essential for three-dimensional ultrasound. Originally used as a tool for creating a surface mode showing the face of the fetus and gender abnormalities, its application has become much broader nowadays. The technique is now becoming ever more important in obstetrics and gynecology, but also in many other fields such as cardiology, surgical applications and urology. Three-dimensional ultrasound is an easy, quick and cheap imaging technique without any known adverse effects on the mother or developing fetus as has been stated by the American Institute of Ultrasound in Medicine (AIUM). In addition, it has been reported by numerous authors to be very accurate in assessing volumes 5-9 . Recently, it has been suggested that both two-and three-dimensional ultrasound, especially in the 1st and 2nd trimester, are of positive influence in initiating the bonding between mother and infant 10 .Although the technique of 3DUS is relatively recent, its clinical importance has already been established in prenatal diagnosis and is likely to continue to increase. This review will provide an overview of the current applications of 3DUS in prenatal diagnosis. The applications will be discussed by subject. The fetal heart is briefly mentioned, since clinical applications of 3DUS studies of the heart are sparse and the new four dimensional ultrasound technologies, such as STIC (spatial temporal correlated imaging) are beyond the subject of this review. GESTATIONAL SACThe gestational sac (GS) is regarded as a reflection of the early uteroplacental unit function and 3DUS volumetry is suggested to have some predictive value for adverse

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3D-Ultrasound Detection of Fetal Grasping of the Umbilical Cord and Fetal Outcome

Cited by 5 publications

References 15 publications

Third trimester intrauterine fetal death caused by complex cord entanglement

Third trimester intrauterine fetal death caused by complex cord entanglement

Fetal Movements. Though They May Be Spontaneous, Yet There is Method in Them

Three Dimensional Ultrasound: An Overview of Its Clinical Use

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