Please wait a minute...
Clinical and Experimental Obstetrics & Gynecology  2020, Vol. 47 Issue (1): 142-143    DOI: 10.31083/j.ceog.2020.01.5097
Case Report Previous articles | Next articles
Spontaneous umbilical cord vascular rupture before labor for congenital defects with a live birth: a case report
J. Huang1, Z. Zhang1, *()
1Hangzhou Women’s Hospital, Kunpeng Road, Shangcheng District, Hangzhou City, Zhejiang Province, China
Download:  PDF(5191KB)  ( 202 ) Full text   ( 10 )
Export:  BibTeX | EndNote (RIS)      
Abstract  

Spontaneous intrauterine umbilical cord vascular rupture is an uncommon, unpreventable, and dangerous event. Once it occurs, there is little chance to intervene, and often with a poor perinatal outcome. A 32-year-old primiparous woman at 40 weeks of gestation with a normal pregnancy presented to the emergency room because of vaginal fluid. During induction of labor with oxytocin, the fetal heart rate declined. An emergency cesarean delivery was carried out. Breach of branch of umbilical vein was noted. The neonate underwent urgent treatment, and was discharged on day 10 without apparent sequelae. It is a rare case of a spontaneous umbilical cord vascular rupture with a viable birth because of congenital defects of umbilical cord. When an unexpected drop in the fetal heart is observed, umbilical cord vascular rupture must be suspected, and emergency correct intervention can lead to a live birth.

Key words:  Umbilical cord vascular rupture      Normal insertion      Congenital defects      Live birth      Emergency cesarean section      Neonatal intensive care unit     
Published:  15 February 2020     
*Corresponding Author(s):  Z. Zhang     E-mail:  zhangzhifen0111@163.com

Cite this article: 

J. Huang, Z. Zhang. Spontaneous umbilical cord vascular rupture before labor for congenital defects with a live birth: a case report. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(1): 142-143.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog.2020.01.5097     OR     https://ceog.imrpress.com/EN/Y2020/V47/I1/142

Figure 1.  — Fetal heart rate drop, frequent deceleration, and final lost is observed.

Figure 2.  — The umbilical cord is shriveled with a normal insertion.

Figure 3.  — A fracture of the umbilical vein branch about 4 cm away from the umbilical cord insertion into the placenta can be seen.

[1] Douglas L.H.: “Spontaneous severance of umbilical cord”. Am. J. Obstet. Gynecol., 1929, 20, 254.
[2] Walker C., Ward J.: “Intrapartum umbilical cord rupture”. Obstet. Gynecol., 2009, 113, 552.
[3] Kumar A., Kaplan C., Mokrian S., Ogburn P.: “Intact newborn survival after spontaneous umbilical cord vascular rupture before labor”. Obstet. Gynecol., 2012, 120, 489.
[4] Schmidt W.A., Afleck J.A., Jacobson S.L.: “Fatal fetal hemorrhage and placental pathology. Report of three cases and a new setting”. Placenta, 2005, 26, 419.
[5] Chasen S.T., Baergen R.N.: “Necrotizing funisitis with intrapartum umbilical cord rupture”. J. Perinatol., 1999, 19, 325.
[1] M.M. Khadra, M.A. Freij, Z.A. Al-Mazaydeh, S.E. Al-Mashhrawi, B.O. Rahhal, S.S. Saleh, R.M. Kilani, L.H. Tahtamouni. Factors influencing successful pregnancy outcomes in IVF cycles among Jordanian infertile couples[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(6): 855-860.
[2] F. Yuling, A. Tiekui, S. Qifang. Successful pregnancy after repairing of unscarred uterine rupture during midtrimester: case study and literature review[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(1): 123-125.
[3] C. Hayashi, F. Chishima, K. Matsumoto, E. Kato, K. Shinya, T. Nakao, A. Nakamura, T. Yamamoto. Successful live birth in a patient who underwent cranial radiotherapy and systemic chemotherapy by implantation of a cryopreserved blastocyst on day 7[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(3): 467-469.
[4] J.H. Check, A. Bollendorf. The correlation of the degree of abnormal sperm morphology using strict criteria and pregnancy rates following intrauterine insemination (IUI)[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(2): 183-184.
[5] Yi Ling, Yuanhua Huang, Caixia Chen, Jilong Mao, Hongyu Zhang. Low dose Cyclosporin A treatment increases live birth rate of unexplained recurrent abortion - initial cohort study[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(2): 230-235.
No Suggested Reading articles found!