Spontaneous Umbilical Cord Hematoma

Umbilical Cord Hematoma: A Case Report and Review of the Literature

“…In our analysis of 11 cases, 2 cases showed evidence of chorioamnionitis [ 7 , 8 ], 1 case revealed single umbilical artery and marginal cord insertion with spontaneous avulsion of the umbilical artery [ 5 ], 1 case was secondary to composite heterozygous congenital factor VII deficiency, and in 7 cases no pathological condition was reported [ 3 , 4 , 9 – 11 ].…”

“…The diagnosis is usually made postnatally, but in some cases it can be made by Doppler ultrasound scan prenatally, assessing the cord and the blood flow in the umbilical vessels [ 11 , 12 ]. Cord hematomas can arise during pregnancy which can lead to fetal death [ 8 ], or may occur, more frequent, during labour giving rise to fetal distress and requiring immediate fetal delivery.…”

“…Our review of the English literature resulted in 9 publications of 11 cases of UCH in the years 2008–2017 [ 3 – 11 ]. Of the 11 cases of spontaneous UCH reported in the 9 studies published in the last 10 years, 2 were stillbirths, 1 occurring antenatally and 1 on day 6 of life [ 6 , 8 ].…”

“…Of the 11 cases of spontaneous UCH reported in the 9 studies published in the last 10 years, 2 were stillbirths, 1 occurring antenatally and 1 on day 6 of life [ 6 , 8 ]. Of the nine live born cases, 7 presented at term of gestational age, 2 preterm [ 3 – 5 , 7 , 9 – 11 ].…”

Spontaneous umbilical cord hematoma causing still birth: a case report in Madagascar

“…It is occurred around 1 per 5500 to 1 per 11000 births. [1][2][3] It is also an unpreventable event that an obstetrician may have to manage. It is responsible for death or severe fetal distress.…”