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CASE REPORT
Year : 2016  |  Volume : 5  |  Issue : 3  |  Page : 234-237

Umbilical cord thrice around the abdomen of the fetus leading to intrauterine death (IUD) of the fetus: A cause or effect


1 Department of Obstetrics and Gynecology, Sri Venkateswara Medical College (SVMC), Government Maternity Hospital (GMH), Tirupati, Andhra Pradesh, India
2 Department of Obstetrics and Gynecology, AKSR Medical College, Nellore, Andhra Pradesh, India

Correspondence Address:
Geetha Lakshmi Sreerama
18-1-731, Bhavani Nagar, Tirupati, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2277-8632.191844

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The umbilical cord transmits oxygen and nutrients through the blood from the mother to the fetus. The umbilical cord abnormalities and cord compression leads to a decreased blood supply through the umbilical cord causes intrauterine growth restriction (IUGR) and even intra uterine death (IUD). We are reporting a case a 25-year-old gravida 3, para 2, live 2 in the 9th month of gestational age (GA) who was a known asthmatic with previous two caesarean sections (C/S) with IUGR, severe oligohydramnios, and IUD with elevated liver enzymes and abnormal coagulation profile was referred from Rajiv Gandhi Institute of Medical Sciences (RIIMS) Kadapa, Andhra Pradesh, India. Clinically, 28-30 weeks of gestation in the transverse lie are with absent fetal heart sound (FHS). Fetal findings were confirmed by ultrasound (USG) examination. Emergency lower segment caesarean section (EMLSCS) was performed, which delivered a dead 2-kg male child with the cord thrice around the abdomen of the fetus. A lengthy cord of 76 cm entangling thrice around the fetal abdomen and associated oligohydramnios leads to cord compression causing fetal death. On USG examination of oligohydramnios, IUGR can be treated and any decreased fetal movements during the antenatal period, abnormal Doppler velocimetry, and abnormal cord position may need early intervention results to salvage the baby. Hence, routine Doppler studies for the cord position may be useful.


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