24Jan 2018

UMBILICAL CORD RESTRUCTURE: AN UNCOMMON CAUSE OF INTRAUTERINE FETAL DEATH.

  • Military and Training Hospital Mohammed V.
  • Faculty of Medicine and Pharmacy of Rabat, Rabat, Morocco.
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Umbilical cord stricture (UCS) refers to an umbilical cord (UC) with a strict zone. its link with the intrauterine fetal death (IUFD) has been established. A 26-year-old woman, primigravida, was admitted for IUFD. Post mortem examination demonstrated a macerated female infant weighing 440 g. The placenta weighed 320 g. The umbilical cord was 47 cm length, 10 mm diameter, normally coiled with 14 coils, and presents a stricture at the fetal insertion site which was pale, 2 mm diameter and 7 mm length. There was no other macroscopic anomaly in the fetus or the placenta.The IUFD was attributed to the UCS. Warnings must be given about performing an ultrasonographic evaluation of the UC in case of IUGR and a detailed examination of the UC after delivery in case of IUFD ou IUGR. Also, patient with a previous IUFD or even IUGR attributed to UCS must be informed about the risk of recurrence in her future pregnancies, and the UC must be evaluated by ultrasonography following even minor maternal complaints.

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[Fatima el mangoub, Soumaya Berrada, Safae Ihssane, Ihsasane Hakimi, Moulay Mehdi Hassani, Jaouad Kouach and Driss Rahhali Moussaoui. (2018); UMBILICAL CORD RESTRUCTURE: AN UNCOMMON CAUSE OF INTRAUTERINE FETAL DEATH. Int. J. of Adv. Res. 6 (Jan). 1492-1494] (ISSN 2320-5407). www.journalijar.com

Fatima El mangoub

DOI:

Article DOI: 10.21474/IJAR01/6378      
DOI URL: https://dx.doi.org/10.21474/IJAR01/6378

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