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Clinical characteristics and perinatal outcomes of eight cases of umbilical cord vascular rupture

OBJECTIVES: To analyze the clinical characteristics and perinatal outcomes of umbilical cord vascular rupture, and to investigate the diagnosis and treatment strategies for reducing adverse perinatal outcomes. METHODS: Clinical data of patients with a singleton pregnancy with umbilical cord rupture...

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Autores principales: Wang, Xiaomei, Liu, Zhaozhen, Chen, Shouzhen, Wang, Yu, Lin, Sheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294384/
http://dx.doi.org/10.1177/0300060520919249
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author Wang, Xiaomei
Liu, Zhaozhen
Chen, Shouzhen
Wang, Yu
Lin, Sheng
author_facet Wang, Xiaomei
Liu, Zhaozhen
Chen, Shouzhen
Wang, Yu
Lin, Sheng
author_sort Wang, Xiaomei
collection PubMed
description OBJECTIVES: To analyze the clinical characteristics and perinatal outcomes of umbilical cord vascular rupture, and to investigate the diagnosis and treatment strategies for reducing adverse perinatal outcomes. METHODS: Clinical data of patients with a singleton pregnancy with umbilical cord rupture who were admitted to Fujian Maternity and Child Health Hospital were collected. The incidence, related factors, clinical features and perinatal outcomes of umbilical cord rupture were retrospectively analyzed. RESULTS: There were eight cases of umbilical cord rupture (incidence rate: 1/8370). Among them, seven were secondary to umbilical cord insertion abnormality, and one may have been related to a relatively short umbilical cord and umbilical cord traction. There were eight cases of abnormal fetal heart rate, two of vaginal bleeding, five of bloody amniotic fluid, five of premature rupture of the membranes, and two of placental abruption. With regard to outcomes, 50% of patients had cesarean section, 12.5% had forceps delivery, and 50% had perinatal mortality. CONCLUSIONS: Vaginal bleeding, amniotic fluid, fetal heart rate, and umbilical cord insertion should be closely monitored in pregnancy. When abnormal conditions occur, obstetricians should be aware of rupture of the umbilical vessels and terminate pregnancy as soon as possible, which could improve perinatal outcomes.
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spelling pubmed-72943842020-06-24 Clinical characteristics and perinatal outcomes of eight cases of umbilical cord vascular rupture Wang, Xiaomei Liu, Zhaozhen Chen, Shouzhen Wang, Yu Lin, Sheng J Int Med Res Retrospective Clinical Research Report OBJECTIVES: To analyze the clinical characteristics and perinatal outcomes of umbilical cord vascular rupture, and to investigate the diagnosis and treatment strategies for reducing adverse perinatal outcomes. METHODS: Clinical data of patients with a singleton pregnancy with umbilical cord rupture who were admitted to Fujian Maternity and Child Health Hospital were collected. The incidence, related factors, clinical features and perinatal outcomes of umbilical cord rupture were retrospectively analyzed. RESULTS: There were eight cases of umbilical cord rupture (incidence rate: 1/8370). Among them, seven were secondary to umbilical cord insertion abnormality, and one may have been related to a relatively short umbilical cord and umbilical cord traction. There were eight cases of abnormal fetal heart rate, two of vaginal bleeding, five of bloody amniotic fluid, five of premature rupture of the membranes, and two of placental abruption. With regard to outcomes, 50% of patients had cesarean section, 12.5% had forceps delivery, and 50% had perinatal mortality. CONCLUSIONS: Vaginal bleeding, amniotic fluid, fetal heart rate, and umbilical cord insertion should be closely monitored in pregnancy. When abnormal conditions occur, obstetricians should be aware of rupture of the umbilical vessels and terminate pregnancy as soon as possible, which could improve perinatal outcomes. SAGE Publications 2020-06-11 /pmc/articles/PMC7294384/ http://dx.doi.org/10.1177/0300060520919249 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Retrospective Clinical Research Report
Wang, Xiaomei
Liu, Zhaozhen
Chen, Shouzhen
Wang, Yu
Lin, Sheng
Clinical characteristics and perinatal outcomes of eight cases of umbilical cord vascular rupture
title Clinical characteristics and perinatal outcomes of eight cases of umbilical cord vascular rupture
title_full Clinical characteristics and perinatal outcomes of eight cases of umbilical cord vascular rupture
title_fullStr Clinical characteristics and perinatal outcomes of eight cases of umbilical cord vascular rupture
title_full_unstemmed Clinical characteristics and perinatal outcomes of eight cases of umbilical cord vascular rupture
title_short Clinical characteristics and perinatal outcomes of eight cases of umbilical cord vascular rupture
title_sort clinical characteristics and perinatal outcomes of eight cases of umbilical cord vascular rupture
topic Retrospective Clinical Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294384/
http://dx.doi.org/10.1177/0300060520919249
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