Intrapartum fetal hypoxia: an atypical case report

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Abstract

A case of abdominal delivery of the patient with acute intrapartum fetal hypoxia associated with a circumvallate placenta and a furcate cord insertion with the rupture of a chorionic plate vessel is reported.

About the authors

Andrey P. Melnikov

Moscow Regional Research Institute of Obstetrics and Gynecology of the Ministry of Health of the Moscow Region

Email: promel1980@yandex.ru

MD, PhD, Senior Researcher. The Obstetric Department of Physiology

Russian Federation, Moscow

Irina N. Voloshchuk

Moscow Regional Research Institute of Obstetrics and Gynecology of the Ministry of Health of the Moscow Region

Email: ivoloshchuk@yandex.ru

MD, PhD, DSci (Medicine), Senior Researcher. The Pathology Department

Russian Federation, Moscow

Anatoliy N. Aksyonov

Moscow Regional Research Institute of Obstetrics and Gynecology of the Ministry of Health of the Moscow Region

Email: Detskiye@yandex.ru

MD, PhD, the Head of the Department of Neonatology

Russian Federation, Moscow

Anastasia A. Aksyonova

Moscow Regional Research Institute of Obstetrics and Gynecology of the Ministry of Health of the Moscow Region

Author for correspondence.
Email: anaaksyonova@yandex.ru

Junior Researcher. The Pathology Department

Russian Federation, Moscow

Galina S. Dzyuba

Moscow Regional Research Institute of Obstetrics and Gynecology of the Ministry of Health of the Moscow Region

Email: gala22_88@mail.ru

Researcher. The Pathology Department

Russian Federation, Moscow

Viktoria I. Ulyatovskaya

Moscow Regional Research Institute of Obstetrics and Gynecology of the Ministry of Health of the Moscow Region

Email: mail4vika@inbox.ru

MD. The Obstetric Department of Physiology

Russian Federation, Moscow

References

  1. Fox H, Sebire NJ. Pathology of the placenta. 3rd ed. Manchester, London: Saunders Elsevier; 2007.
  2. Benirschke K, Burton GJ, Baergen RN. Pathology of the Human Placenta. 6th ed. Heidelberg, New York, Dordrecht, London: Springer; 2012.
  3. Baergen RN. Manual of pathology of the human placenta. 2nd ed. New York: Springer; 2011.
  4. Suzuki S. Clinical significance of pregnancies with circumvallate placenta. J Obstet Gynaecol Res. 2008;34(1):51-54. https://doi.org/10.1111/j.1447-0756.2007.00682.x.
  5. Taniguchi H, Aoki S, Sakamaki K, et al. Circumvallate placenta: associated clinical manifestations and complications — a retrospective study. Obstet Gynecol Int. 2014;2014:986230. https://doi.org/10.1155/2014/986230.
  6. Laberke PJ, Deubler G. Sudden intrauterine death associated with furcate insertion of the umbilical cord. Int J Legal Med. 2009;123(6):509-512. https://doi.org/10.1007/s00414-008-0295-6.
  7. Opri F, Jalůvka V. Intra-amniotic bleeding following rupture of umbilical artery. Zentralbl Gynakol. 1980;102(1):17-21.
  8. Sharma N, Das R, Salam S, et al. Coexistent circumvallate placenta and battledore insertion of umbilical cord resulting in grave obstetric outcome: A case report. J Reprod Infertil. 2017;18(4):390-392.

Supplementary files

Supplementary Files
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2. Fig. 1. Fetal cardiotocography showing decreasing fetal heart rate

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3. Fig. 2. Chorionic plate defect with vessel rupture (indicated by arrow)

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Copyright (c) 2019 Melnikov A.P., Voloshchuk I.N., Aksyonov A.N., Aksyonova A.A., Dzyuba G.S., Ulyatovskaya V.I.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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