Severe Fetal Distress and Umbilical Cord Strangulation
Author Information
Author(s): Giovanni Larciprete, Carlotta Montagnoli, Paolo Fusco
Primary Institution: Fatebenefratelli Isola Tiberina Hospital, Rome, Italy
Conclusion
The timely intervention during labor allowed for the delivery of a live newborn despite severe fetal distress caused by umbilical cord strangulation.
Supporting Evidence
- The amniotic band sequence occurs in approximately 1/2000–1/15000 live births.
- 10% of congenital syndromes associated with amniotic bands include umbilical cord strangulation.
- The newborn had an Apgar score of 2 and 8 at 1 and 5 minutes, respectively.
Takeaway
A baby was born safely even though the umbilical cord was tightly wrapped, which usually causes problems during birth.
Methodology
The case involved monitoring fetal heart rate, induction of labor, and cesarean section due to acute fetal distress.
Limitations
The diagnosis of amniotic band was not determined during pregnancy, and there was no data on fetal or neonatal blood pH.
Participant Demographics
A 39-year-old woman, gravida 2 para 1, at 41-week gestation.
Digital Object Identifier (DOI)
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