Intrauterine fetal demise (nuchal cord accident)
Updates to Case Attributes
Intrauterine fetal death/demise (IUFD) refers to a situation where the fetus is no longer alive, the cervical ostia remains closed and the uterus has not yet started to expel its contents1. In this presentation, the average ultrasound age corresponds to 35 weeks maturity. The cervix is closed and, whereas during real-time scanning the ornamental wrist cord or the double looplooped nuchal cord was not chanced (save for only one), initial ultrasound impression of the seen single loop possibly resulting into the fetal demise was clinically confirmed.
Again, maternal uterine arterial evaluation (despite the patient not presenting with pressure issues), was unremarkable with normal waveforms, pulsatility and resistive indices.
-<p><a title="Intrauterine fetal death" href="/articles/intrauterine-fetal-death">Intrauterine fetal death</a>/<a title="Demise of fetus" href="/articles/fetal-death-in-utero-1">demise</a> refers to a situation where the fetus is no longer alive, the cervical ostia remains closed and the uterus has not yet started to expel its contents<sup>1</sup>. In this presentation, the average ultrasound age corresponds to 35 weeks maturity. The cervix is closed and, whereas during real-time scanning the <a title="ornamental wrist cord" href="/articles/ornamental-wrist-cord">ornamental wrist cord </a>or the double loop was not chanced, initial ultrasound impression of the seen single loop possibly resulting into the fetal demise was clinically confirmed.</p><p>Again, maternal uterine arterial evaluation (despite the patient not presenting with pressure issues), was unremarkable with normal waveforms, pulsatility and resistive indices. </p>- +<p><a href="/articles/intrauterine-fetal-death">Intrauterine fetal death</a>/<a href="/articles/fetal-death-in-utero-1">demise</a> (IUFD) refers to a situation where the fetus is no longer alive, the cervical ostia remains closed and the uterus has not yet started to expel its contents<sup>1</sup>. In this presentation, the average ultrasound age corresponds to 35 weeks maturity. The cervix is closed and, whereas during real-time scanning the <a href="/articles/ornamental-wrist-cord">ornamental wrist cord </a>or the double looped nuchal cord was not chanced (save for only one), initial ultrasound impression of the seen single loop possibly resulting into the fetal demise was clinically confirmed.</p><p>Again, maternal uterine arterial evaluation (despite the patient not presenting with pressure issues), was unremarkable with normal waveforms, pulsatility and resistive indices. </p>
Updates to Study Attributes
Fetal obstetrics assessment demonstrates acardiac singleton intrauterine pregnancy in utero, flexed breech presentation. A visible nuchal cord (appearing as a single twist) and, well applied and completely encircling the fetal neck is evident with a Divot sign (in the sagittal plane) and an O-shaped appearance (on the axial probe orientation) consistent with type -B nuchal chord. No obvious Robert sign at the fetal heart, Spalding signat the fetal head or subcutaneous tissue oedema or related hydrops fetalis changes. Rest of the parameters including liquor amount, placental attachment and the rest of the fetal anatomy was unremarkable (save for the minimal casually chanced, unilateral left sided simple fetal scrotal sac hydrocele seen).
Unable to process the form. Check for errors and try again.