title: [Spontaneous intrauterine rupture of the umbilical cord is very uncommon but a serious condition].
abstract: Spontaneous intrauterine rupture of the umbilical cord is an uncommon and dangerous complication during delivery. We describe a case of a 27-year-old woman with a normal pregnancy. When the membranes broke, the fetal heart sounds suddenly disappeared, and the vaginal bleeding was heavier than normal. An emergency caesarean section was executed and the examination of the placenta revealed a broken umbilical artery. The child was born with an Apgar score of 0,1,1 and a blood gas analysis from the umbilical vein showed pH 6.68 and Base Excess -24.3. Urgent treatment with heart massage, adrenaline, blood transfusion and tribonate was initiated and followed by therapeutic hypothermia. The child was discharged after 10 days with no pathological findings on a MRI examination of the brain. The 6 month follow-up showed a normal development. When a fetal bleeding is suspected, it is important to inform a neonatologist so that correct treatment can be started as early as possible.
authors.affiliation: Karolinska Institutet - Department of Clinical Science and Education, Unit of Obstetrics and Gynecology Stockholm, Sweden Karolinska Institutet - Department of Clinical Science and Education, Unit of Obstetrics and Gynecology Stockholm, Sweden.
authors.forename: Hanna
authors.initials: H
authors.lastname: Åmark
authors.affiliation: kvinnokliniken - södersjukhuset stockholm, Sweden kvinnokliniken - södersjukhuset stockholm, Sweden.
authors.forename: Eva
authors.initials: E
authors.lastname: Eneroth
mesh_terms: D000328:Adult; D015148:Cardiotocography; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007744:Obstetric Labor Complications / Q000628:therapy; D011247:Pregnancy; D012422:Rupture, Spontaneous / Q000473:pathology*; D014469:Umbilical Arteries / Q000473:pathology*