Khetsuriani-Millischer T, Nabi A
GheF - Grande Hopital de L'Este, Francilien, Sitte de Coulommiers, Service - Gynecologie - Obstetrigue.
Georgian Med News. 2019 May(290):30-31.
The article reports a rare case of umbilical cord twisted five times around the fetuss neck. Our case referred to a 37 year old bedridden woman with diabetes and low amniotic fluid. As a result of performed caesarian section the newborn survived and is in a good state now. The umbilical cord wrapping around the fetuss neck during conservative labor give rise to various complications in the fetus and is the cause of hypoxic-ischemic encephalopathy; the umbilical cord wrapping around the fetus`s neck tightly for several times causes intrauterine hypoxia; we consider ultrasonographic visualization of the umbilical cord to be included in the guidelines; cesarean intervention reduces complications during the labor and the postnatal period by 50%.
该文章报道了一例脐带绕胎儿颈部五周的罕见病例。我们的病例是一名37岁卧床的糖尿病女性，羊水过少。由于实施了剖宫产，新生儿存活下来，目前状况良好。在保守分娩过程中，脐带绕胎儿颈部会给胎儿带来各种并发症，是缺氧缺血性脑病的原因；脐带多次紧紧绕胎儿颈部会导致宫内缺氧；我们认为脐带的超声可视化应纳入指南；剖宫产干预可使分娩期和产后并发症减少50%。
