Multiple nuchal cord entanglements and intrapartum complications

Larson, Janet D.; Rayburn, William F.; Crosby, Sarah; Thurnau, Gary R.

doi:10.1016/0002-9378(95)91359-9

Cited by 164 publications

(99 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The underlying reasons can be divided in maternal, fetal and placental causes. Umbilical cord complications are the most common cause for fetal demise in the third trimester [2]. Unfortunately these complications are regarded as unpredictable and unpreventable.…”

Section: Introductionmentioning

confidence: 99%

Intrauterine fetal death after multiple umbilical cord torsion—complication of a twin pregnancy following assisted reproduction

Fleisch

Hoehn

2008

J Assist Reprod Genet

View full text Add to dashboard Cite

Background Patients requiring assisted reproductive techniques may have a higher rate of congenital malformations. Some rare complications of pregnancy might be related to such abnormalities. Torsions of the umbilical cord resulting in fetal death have previously been described exclusively in pregnancies following spontaneous conception. Case The case of 37 year old gravida I, para O woman with a twin pregnancy after intracytoplasmatic sperm injection and intrauterine death of one twin at approximately 30 weeks' gestation is presented. The surviving twin was delivered by cesarean section at 31 weeks after spontaneous onset of labor and recurrent fetal bradycardia. The intraoperative situs showed that the demised twin had suffered from multiple umbilical cord torsions leading to intrauterine hypoperfusion. Conclusion Umbilical torsion leading to fetal death might represent a previously unrecognized complication in women requiring assisted reproductive techniques, but this problem is known to occur in pregnancies achieved by natural methods.

show abstract

Section: Introductionmentioning

confidence: 99%

Intrauterine fetal death after multiple umbilical cord torsion—complication of a twin pregnancy following assisted reproduction

Fleisch

Hoehn

2008

J Assist Reprod Genet

View full text Add to dashboard Cite

show abstract

“…A longer second stage of labor has been reported in nuchal cord cases, especially in nulliparous parturients and multiple looping nuchal cords. 3,17 This factor has already been reported as a predisposition to birth asphyxia and neonatal death. 6 In this study, tight nuchal cord was a very significant predictive factor for perinatal death.…”

Section: Discussionmentioning

confidence: 93%

“…[1][2][3][4][5][6] In Cameroon, the reported incidence of nuchal cord at delivery varies according to different authors from 5.5% to 16.2%. [6][7][8] Maternal age <20 years, first delivery, absence of obstetrical ultrasound during pregnancy; nuchal cord with more than one loop, tight nuchal cord, duration of second stage of labor more than 30 minutes during vaginal delivery have been identified in a previous study as risk factors of birth asphyxia and subsequent newborn death.…”

Section: Introductionmentioning

confidence: 99%

Predictive factors for perinatal death in nuchal cord cases: a case control study

Foumane

Nguefack

Fouedjio

et al. 2016

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

“…Compared with single or no cord entanglement, pregnancies with multiple nuchal cords were significantly more likely to have meconium-stained amniotic fluid, an abnormal foetal heart rate pattern during advanced labour, operative vaginal delivery, low 1-min Apgar scores and mild umbilical artery acidosis at birth. 9 In present study, we studied the mode of delivery with two or more loops of cord around neck. We found 1 loop of cord in 40 cases; 27 delivered vaginally, 1 had instrumental delivery and 12 had caesarean sections.…”

Section: Discussionmentioning

confidence: 99%