[Stillbirth and tight umbilical cord knot: obviously guilty?].
A healthy woman, gravida 1, para 1, spontaneously delivered a stillborn at 40 weeks of gestation, presenting with a tight umbilical cord knot. Fetopathological examination confirmed the main but not exclusive role of the knot in this intra-uterine fetal death (IUFD). Knot of the umbilical cord is a rare occurrence, which is usually an incidental finding at delivery. However, it is associated with an increase in perinatal mortality. Only a complete fetopathological examination can state causality between knot and IUFD, exclude another fetal or placental cause of death and consequently reassure the parents for the prognosis of another pregnancy.
Guilherme
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R
Service de biologie du développement, hôpital Robert-Debré, université Denis-Diderot, 48, boulevard Sérurier, 75019 Paris, France. romain.guilherme@rdb.aphp.fr
Plot
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Delezoide
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D000328:Adult; D005260:Female; D005313:Fetal Death / Q000209:etiology* / Q000473:pathology; D006801:Humans; D010920:Placenta / Q000473:pathology; D011247:Pregnancy; D050497:Stillbirth; D014470:Umbilical Cord / Q000002:abnormalities* / Q000473:pathology