Risk factors associated with true knots of the umbilical cord

Hershkovitz, Reli; Silberstein, Tali; Sheiner, Eyal; Shoham‐Vardi, Ilana; Holcberg, Gershon; Katz, Miriam; Mazor, Moshe

doi:10.1016/s0301-2115(01)00312-8

Cited by 123 publications

(156 citation statements)

References 19 publications

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“…Fetal mobility is facilitated by increased amounts of amniotic fluid, whereas oligohydramnios and amniotic bands are associated with pulmonary hypoplasia [8] and contractures due to the lack of fetal movements [9]. Increased mobility due to polyhydramnios is associated with a higher incidence of true knots of the umbilical cord [10].…”

Section: Discussionmentioning

confidence: 99%

Intrauterine fetal death after multiple umbilical cord torsion—complication of a twin pregnancy following assisted reproduction

Fleisch

Hoehn

2008

J Assist Reprod Genet

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Background Patients requiring assisted reproductive techniques may have a higher rate of congenital malformations. Some rare complications of pregnancy might be related to such abnormalities. Torsions of the umbilical cord resulting in fetal death have previously been described exclusively in pregnancies following spontaneous conception. Case The case of 37 year old gravida I, para O woman with a twin pregnancy after intracytoplasmatic sperm injection and intrauterine death of one twin at approximately 30 weeks' gestation is presented. The surviving twin was delivered by cesarean section at 31 weeks after spontaneous onset of labor and recurrent fetal bradycardia. The intraoperative situs showed that the demised twin had suffered from multiple umbilical cord torsions leading to intrauterine hypoperfusion. Conclusion Umbilical torsion leading to fetal death might represent a previously unrecognized complication in women requiring assisted reproductive techniques, but this problem is known to occur in pregnancies achieved by natural methods.

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Section: Discussionmentioning

confidence: 99%

Intrauterine fetal death after multiple umbilical cord torsion—complication of a twin pregnancy following assisted reproduction

Fleisch

Hoehn

2008

J Assist Reprod Genet

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“…Finally, knots form at random in many objects of everyday practice, from extension cords, ropes, and garden hoses (Raymer and Smith 2007) to umbilical cords (Goriely 2005;Hershkovitz et al 2001) and eels (Zintzen et al 2011). …”

Section: Knots In Naturementioning

confidence: 99%

Models of random knots

Even-Zohar

2017

J Appl. and Comput. Topology

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The study of knots and links from a probabilistic viewpoint provides insight into the behavior of ''typical'' knots, and opens avenues for new constructions of knots and other topological objects with interesting properties. The knotting of random curves arises also in applications to the natural sciences, such as in the context of the structure of polymers. We present here several known and new randomized models of knots and links. We review the main known results on the knot distribution in each model. We discuss the nature of these models and the properties of the knots they produce. Of particular interest to us are finite type invariants of random knots, and the recently studied Petaluma model. We report on rigorous results and numerical experiments concerning the asymptotic distribution of such knot invariants. Our approach raises questions of universality and classification of the various random knot models.

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“…A true knot of the umbilical cord is observed in approximately 0.3%-2.1% of births [10]. Although it is a rare event, this finding is associated with serious consequences.…”

Section: True Knot Of the Umbilical Cordmentioning

confidence: 99%

“…Fetal mortality rate can be four to ten times higher when compared with that of the general obstetric population [3]. It can also be associated with a non-reassuring fetal heart rate pattern during labor and higher incidence of cesarean section [10]. Some obstetric factors are described to be correlated with true knot of the umbilical cord: polyhydramnios, gestational diabetes, fetuses that are small for gestational age, long umbilical cord, male fetus, and genetic amniocentesis [10].…”

Section: True Knot Of the Umbilical Cordmentioning

confidence: 99%

Prenatal diagnosis of placenta and umbilical cord pathologies by three-dimensional ultrasound: pictorial essay

2015

Med Ultrason

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The authors present their experience in prenatal diagnosis of placental and umbilical cord pathologies, using three-dimensional ultrasound (3DUS) in the rendering and tomography ultrasound imaging (TUI) modes, associated with color Doppler in some cases. Cases of placenta accreta/placenta previa, circumvallate placenta, succenturiate lobe, true knot of the umbilical cord, nuchal cord, and marginal/velamentous umbilical cord insertion are presented. 3DUS can contribute to improve the accuracy of prenatal diagnosis of placenta and umbilical cord pathologies.

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Risk factors associated with true knots of the umbilical cord

Cited by 123 publications

References 19 publications

Intrauterine fetal death after multiple umbilical cord torsion—complication of a twin pregnancy following assisted reproduction

Intrauterine fetal death after multiple umbilical cord torsion—complication of a twin pregnancy following assisted reproduction

Models of random knots

Prenatal diagnosis of placenta and umbilical cord pathologies by three-dimensional ultrasound: pictorial essay

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