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This review provides a clinico\u2010pathological overview of cord abnormalities potentially associated with antepartum stillbirth, describing the mechanism determining the death and addressing suggestions about the possibility of stillbirth prevention. Fatal effects on the fetal circulatory system can occur due to various umbilical cord abnormalities, both in cases of acquired anomalies (i.e., multiple tight nuchal cords and true knots) or congenital anomalies (i.e., aneurysmatic malformation, stricture, abnormalities of cord insertion in the fetal or placenta site such as velamentous or furcate cord insertion). In pregnancies with an identification of umbilical cord abnormality, ultrasound signs of fetal well\u2010being could be monitored over time. 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