The fetal heart monitor tracing in pregnancies complicated by a spontaneous umbilical cord hematoma

Craig Towers, C. E. Juratsch, T. J. Garite

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The objective of this study is to present and describe the fetal heart rate appearance in pregnancies complicated by an antenatal spontaneous umbilical cord hematoma that resulted in a live birth. Three cases of antenatal spontaneous umbilical cord hematoma are described. All three patients presented with a complaint of decreased fetal movement. The fetal heart monitor tracings on admission are depicted and discussed. In all three cases, the fetal heart rate pattern showed decreased variability with an absence of accelerations. Decelerations were noted but were identified in 25% or less of the contractions and primarily with contractions that exceeded 90s. Absent accelerations with minimal to absent variability, if caused by uteroplacental insufficiency, usually develop in the presence of recurrent decelerations. Absent accelerations with minimal to absent variability in the absence of recurrent decelerations may suggest other causes including aneuploidy or congenital cardiac or neurologic anomalies. Though rare, spontaneous umbilical cord hematoma can be added to the differential.

Original languageEnglish (US)
Pages (from-to)517-520
Number of pages4
JournalJournal of Perinatology
Volume29
Issue number7
DOIs
StatePublished - Jul 13 2009

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Fetal Heart
Deceleration
Umbilical Cord
Hematoma
Fetal Heart Rate
Pregnancy
Nervous System Malformations
Fetal Movement
Live Birth
Aneuploidy

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

The fetal heart monitor tracing in pregnancies complicated by a spontaneous umbilical cord hematoma. / Towers, Craig; Juratsch, C. E.; Garite, T. J.

In: Journal of Perinatology, Vol. 29, No. 7, 13.07.2009, p. 517-520.

Research output: Contribution to journalArticle

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