1994
DOI: 10.1080/00313029400169241
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Umbilical cord stricture and fetal intrauterine death

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Cited by 14 publications
(22 citation statements)
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“…We are not sure that the assumption of a circular cross‐section is valid for the abdominal wall section of the vein20, or whether the constriction is situated slightly more into the cord in some cases and therefore not included in the diameter measurement at the umbilical ring. Reports of umbilical cord stricture close to the abdominal insertion in some stillborns support the latter scenario31. In the latter case the velocity measurement would be the more reliable one.…”
Section: Discussionmentioning
confidence: 84%
“…We are not sure that the assumption of a circular cross‐section is valid for the abdominal wall section of the vein20, or whether the constriction is situated slightly more into the cord in some cases and therefore not included in the diameter measurement at the umbilical ring. Reports of umbilical cord stricture close to the abdominal insertion in some stillborns support the latter scenario31. In the latter case the velocity measurement would be the more reliable one.…”
Section: Discussionmentioning
confidence: 84%
“…Increasing clinical and experimental evidence shows that the state of the vascular system of the umbilical cord and placenta plays an important role in the intrauterine development of the fetus 14,15 . Stricture of umbilical cords, characterized by a reduced amount of Wharton's jelly and a thickening of the vascular wall, has been described in unexplained intrauterine fetal deaths 16 . Areas of degeneration of Wharton's jelly around the vessels, replaced by dense hyaline collagenous tissue, have been considered responsible for the constriction and subsequent torsion of the umbilical cord 17 .…”
Section: Discussionmentioning
confidence: 99%
“…Areas of degeneration of Wharton's jelly around the vessels, replaced by dense hyaline collagenous tissue, have been considered responsible for the constriction and subsequent torsion of the umbilical cord 17 . The included cord vessels are usually markedly compressed and constricted and occasionally show antemortem thrombosis 16 . Furthermore, Silver and colleagues 18 reported that, in prolonged pregnancies, fetuses with a small umbilical cord were more likely to experience antenatal and intrapartum cord compression.…”
Section: Discussionmentioning
confidence: 99%
“…1 Assessment of morphometric alterations of umbilical cord by prenatal sonography at different gestational ages permits the identification of adverse perinatal outcomes. 2,3 Many authors established the morphology of umbilical cord and components but very few studies were conducted on determining the reference ranges of the cross-sectional area of the portions of the umbilical cord. [4][5][6][7] Alteration of these reference ranges validates antenatal and perinatal complications including preeclampsia, growth restriction, pregnancy induced hypertension, fetal heart rate disturbances, fetal aneuploidy, macrosomy, and intrauterine demise.…”
Section: Introductionmentioning
confidence: 99%