Institute of Legal Medicine, University of Zurich, Winterthurerstr. 190/52, CH-8057 Zurich, Switzerland.
Int J Legal Med. 2009 Nov;123(6):509-12. doi: 10.1007/s00414-008-0295-6. Epub 2008 Nov 26.
In the case described, a completely uncomplicated pregnancy ended with a fatal outcome. Intrauterine fetal death, which was diagnosed prepartum at 40 weeks of gestation, was caused by hemorrhage of the fetus into the amniotic fluid following rupture of the umbilical vein at the site of furcate insertion of the umbilical cord. This insertion anomaly accompanied by rupture of a vessel occurs only very rarely but represents a placental cause of an abrupt and unpredicted end of a pregnancy. Although this process involved trauma, from a medico-legal point of view, there was no sign of external impact and death could, therefore, be classified as natural.
在本例中，一次完全无并发症的妊娠以致命结局告终。宫内胎儿死亡是在 40 孕周产前诊断的，其原因是脐带在分叉插入处的静脉破裂，导致胎儿血液进入羊水。这种伴有血管破裂的插入异常非常罕见，但代表了胎盘突然和意外终止妊娠的原因。尽管这个过程涉及到创伤，但从医学法律的角度来看，没有外部冲击的迹象，因此可以将死亡归类为自然死亡。
