15 Haftalık Fetusun İntrauterin Fetal Ölümü ile Sonuçlanan Boynuna ve Sol Koluna Dolanmış Umblikal Kor

Year 2016, Volume: 17 Issue: 1, - , 01.04.2016

Bülent Yılmaz Osman Şevket , Seda Ateş Zehra Şekerci Fulya Özkal Sefa Kelekçi

Abstract

Otuz yaşında sağlıklı gebe (gravida 5, parite 4) intrauterine fetal ölüm olarak kliniğimize başvurdu. Ultrasonda intrauterine 15 haftalık kalp atışı olmayan fetus görüldü. Tıbbı nedenli tahliye sonrası umblikal kordun fetal boyun ve eş zamanlı sol kol etrafına dolandığı  tespit edildi. Gövde, ekstremite ve boyun etrafında  çoklu döngüler içeren kompleks kord dolanmaları dikkatli takip edilmeli ve aile fetal ölüm riski konusunda bilgilendirilmelidir.

Keywords

Boyunda kordon dolanması, göbek kordonu, fetal ölüm

References

• Spellacy WN, Graven H, Fisch RO. The umbilical cord and complications of true knot, nuchal cords, and cords around the body. Am J Obstet Gynecol 1966;94(8):1136-42.
• Shui KP, Eastman NJ. Coiling of the umbilical cord around the fetal neck. J Obstet Gynaecol Br Emp 1957;64(2):227-8.
• Larson JD, Rayburn WF, Harlan VL. Nuchal cord entanglements and gestational age. Am J Perinatol 1997;14(9):555-7.
• Onderoglu LS, Dursun P, Durukan T. Perinatal features and umbilical cord blood gases in newborns complicated with nuchal cord. Turk J Pediatr 2008;50(5):466-70.
• Sherer DM, Manning FA. Prenatal ultrasonographic diagnosis of nuchal cord(s): disregard, inform, monitor or intervene? Ultrasound Obstet Gynecol 1999;14(1):1-8.
• Osak R, Webster KM, Bocking AD, Campbell MK, Richardson BS. Nuchal cord at birth impacts on fetal size relative to that of the placenta. Early Hum Dev 1997;49(3):193-202.
• Sornes T. Umbilical cord encirclements and fetal growth restriction. Obstet Gynecol 1995;86(5):725-8.
• Nelson KB, Grether JK. Potentially asphyxiating conditions and spastic cerebral palsy in infants of normal birth weight. Am J Obstet Gynecol 1998;179(2):507-13.
• Carey JC, Rayburn WF. Nuchal cord encirclements and birth weight. J Reprod Med 2003;48(6):460-2.
• Schaefer M, Laurichesse-Delmas H, Ville Y. The effect of nuchal cord on nuchal translucency measurement at 10–14 weeks. Ultrasound Obstet Gynecol 1998;11(4):271-3.
• Scheier M, Egle D, Himmel I, et al. Impact of nuchal cord on measurement of fetal nuchal translucency thickness. Ultrasound Obstet Gynecol 2007;30(2):197-200.
• Nicolaides KH. Nuchal translucency and other first-trimester sonographic markers of chromosomal abnormalities. Am J Obstet Gynecol 2004;191(1):45-67.
• Tepper R, Kidron D, Aviram R, Markovitch O, Hershkovitz R. High incidence of cord entanglement during early pregnancy detected by three-dimensional sonography. Am J Perinatol ;26(5):79-82.