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Severe fetal distress and umbilical cord strangulation.

Larciprete G, Montagnoli C, Fusco P - Case Rep Med (2011)

Bottom Line: We describe an extreme case of amniotic band syndrome, presented with fetal stress during labor and associated with strangulation of umbilical cord.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Fatebenefratelli Isola Tiberina Hospital, Rome, Italy.

ABSTRACT
We describe an extreme case of amniotic band syndrome, presented with fetal stress during labor and associated with strangulation of umbilical cord.

No MeSH data available.


Related in: MedlinePlus

Fetal heart rate monitoring: (a,b). Persistent decreased variability (<5 bpm).
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Related In: Results  -  Collection


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fig1: Fetal heart rate monitoring: (a,b). Persistent decreased variability (<5 bpm).

Mentions: Within 40 minutes of admission, an induction of labor with Oxytocin 5 UI was performed under cardiotocography monitoring. Two hours after the induction, we still observed a reduced variability in fetal heart rate from cardiotocography (amplitude range of 5 beats/minute) with sporadic late decelerations (Figures 1(a) and 1(b)), then we proceeded to amniorrhexis which revealed meconium-stained amniotic fluid. Therefore, a cesarean section was performed for acute fetal distress, since spontaneous vaginal delivery was not imminent. An asphyxiated, 2620 g female newborn was delivered, with Apgar score 2 and 8 at 1 and 5 minutes, respectively. The newborn had cardiac activity, but she breathed after ventilation. Unfortunately, we do not have any data about fetal or neonatal blood pH or BE, because in that circumstance, the blood sample clotted early before allowing the measure. The examination of the placenta and the umbilical cord revealed an amniotic band causing entrapment and strangulation of part of the umbilical cord (Figures 2(a) and 2(b)).


Severe fetal distress and umbilical cord strangulation.

Larciprete G, Montagnoli C, Fusco P - Case Rep Med (2011)

Fetal heart rate monitoring: (a,b). Persistent decreased variability (<5 bpm).
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3139904&req=5

fig1: Fetal heart rate monitoring: (a,b). Persistent decreased variability (<5 bpm).
Mentions: Within 40 minutes of admission, an induction of labor with Oxytocin 5 UI was performed under cardiotocography monitoring. Two hours after the induction, we still observed a reduced variability in fetal heart rate from cardiotocography (amplitude range of 5 beats/minute) with sporadic late decelerations (Figures 1(a) and 1(b)), then we proceeded to amniorrhexis which revealed meconium-stained amniotic fluid. Therefore, a cesarean section was performed for acute fetal distress, since spontaneous vaginal delivery was not imminent. An asphyxiated, 2620 g female newborn was delivered, with Apgar score 2 and 8 at 1 and 5 minutes, respectively. The newborn had cardiac activity, but she breathed after ventilation. Unfortunately, we do not have any data about fetal or neonatal blood pH or BE, because in that circumstance, the blood sample clotted early before allowing the measure. The examination of the placenta and the umbilical cord revealed an amniotic band causing entrapment and strangulation of part of the umbilical cord (Figures 2(a) and 2(b)).

Bottom Line: We describe an extreme case of amniotic band syndrome, presented with fetal stress during labor and associated with strangulation of umbilical cord.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Fatebenefratelli Isola Tiberina Hospital, Rome, Italy.

ABSTRACT
We describe an extreme case of amniotic band syndrome, presented with fetal stress during labor and associated with strangulation of umbilical cord.

No MeSH data available.


Related in: MedlinePlus