Spontanruptur einer Nabelschnurarterie vor Geburtsbeginn bei Insertio funiculi furcata

Abstract

Der weitere Verlauf der Geburt ist in kurzen Ziigen folgender: es besteht eine gute Wehent/itigkeit, zeitweise besitzen die Wehen krampfartigen Charakter, k6nnen aber dutch Belladonnagaben gemildert werden. Mit der Er6ffnung des Mutternmndes stellt sich eine ausgesloroehene Wehensehw~ehe ein, die sieh dureh Hypo-1 In Anlehnung an eine Demonstration in der Sitzung der Medizinisehen Gesellsehaft YJoehum yore 8.12.37.

Furcate cord insertion: under‐reported but likely relevant

“…Only a handful of cases of prenatally suspected furcate cord insertion have been reported in the literature. Several smaller studies and case reports have suggested that a furcate cord insertion is associated with an increased risk of adverse fetal outcome, including preterm delivery and increased syncytial knotting 2,3 , as well as sudden intrauterine fetal demise due to hemodynamic imbalance and exsanguination following vessel rupture 4,5 . The largest study on the topic, by Kosian et al 1 , including 132 postnatally detected cases with furcate cord insertion, reported 2.3% cases of fetal demise to be directly attributable to the aberrant cord.…”

Intrauterine Fetal Death Due to Rupture of Umbilical Vessels: A Rare Case of Furcate Cord Insertion

“…These patients all chose to terminate pregnancy by induction or cesarean section at 37-39 weeks, and the newborns did not show complications after birth. The remaining 6 case reports documented intrauterine fetal death due to spontaneous rupture of umbilical vessels [13][14][15][16][17][18].…”