{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:14:26Z","timestamp":1787004866289,"version":"build-2736575974"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Joint Funds for the Innovation of Science and Technology, Fujian province","award":["2023Y9392"],"award-info":[{"award-number":["2023Y9392"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Umbilical cord vascular rupture is a rare and severe condition that can occur during labor, leading to adverse outcomes for the fetus before as well as after delivery. Prompt diagnosis and intervention are crucial for improving the chances of a successful outcome. We aimed to analyze cases of umbilical cord vascular rupture during labor to provide insights into this challenging condition.<\/jats:p>\n                  <jats:p>This retrospective study evaluated the medical records of patients diagnosed with umbilical cord vessel rupture or umbilical cord hematoma at Fujian Maternity and Child Health Hospital from January 1, 2015, to May 31, 2023. The inclusion criteria included gestational age of \u226528 weeks, occurrence during labor, and availability of complete delivery data. Data on fetal heart rate (FHR) changes, delivery intervals, intraoperative findings, placental pathology, and neonatal outcomes were collected and analyzed.<\/jats:p>\n                  <jats:p>A total of 12 cases were analyzed. The incidence of umbilical cord vascular rupture during childbirth was 0.08%. The FHR patterns in umbilical cord rupture during delivery included baseline tachycardia, minimal or absent variability, variable or late deceleration, prolonged deceleration, and undetectable heart rate. The bradycardia-to-delivery interval (BDI) ranged from 6 to 26\u2009minutes. Among the 12 neonates, 9 were discharged well, 2 were stillbirths, and there was 1 neonatal death. Hemorrhagic shock was common in live births.<\/jats:p>\n                  <jats:p>Our study highlights the significance of continuous FHR monitoring during labor and the urgent need for medical teams to respond quickly in cases of umbilical cord vascular rupture. Despite advancements in neonatal resuscitation techniques, managing cases with undetectable fetal heart activity remains clinically challenging, and even with immediate pregnancy termination, poor neonatal outcomes may still occur.<\/jats:p>","DOI":"10.1055\/a-2412-3169","type":"journal-article","created":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T19:42:37Z","timestamp":1727811757000},"page":"586-592","source":"Crossref","is-referenced-by-count":2,"title":["Spontaneous Umbilical Cord Vascular Rupture during Labor: A Retrospective Analysis of 12 Cases"],"prefix":"10.1055","volume":"42","author":[{"given":"Ruiyun","family":"Chen","sequence":"additional","affiliation":[{"name":"Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, Fuzhou, Fujian, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Lin","sequence":"additional","affiliation":[{"name":"Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics and Gynecology and Pediatrics, Fujian Medical University, Fuzhou, Fujian, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,10,1]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1016\/S0002-9378(16)36946-0","article-title":"Hematoma of the umbilical cord; a case report","volume":"76","author":"J L Breen","year":"1958","journal-title":"Am J Obstet Gynecol"},{"issue":"5422","key":"ref2","doi-asserted-by":"crossref","first-page":"1436","DOI":"10.1136\/bmj.2.5422.1436","article-title":"Haematoma of the umbilical cord","volume":"2","author":"P K Irani","year":"1964","journal-title":"BMJ"},{"key":"ref3","first-page":"51","article-title":"Haematomas of the umbilical cord","volume":"70","author":"A L Dipple","year":"1940","journal-title":"Surg Gynecol Obstet"},{"issue":"11","key":"ref4","doi-asserted-by":"crossref","first-page":"1056","DOI":"10.1034\/j.1600-0412.2003.00087.x","article-title":"Spontaneous umbilical cord hematoma diagnosed antenatally with ultrasonography","volume":"82","author":"S Y Chou","year":"2003","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1055\/s-2001-13632","article-title":"Spontaneous umbilical cord hematoma: a rare cause of acute fetal distress","volume":"18","author":"M Seoud","year":"2001","journal-title":"Am J Perinatol"},{"issue":"07","key":"ref6","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1038\/jp.2008.247","article-title":"The fetal heart monitor tracing in pregnancies complicated by a spontaneous umbilical cord hematoma","volume":"29","author":"C V Towers","year":"2009","journal-title":"J Perinatol"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1097\/AOG.0b013e318193bded","article-title":"The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal monitoring: update on definitions, interpretation, and research guidelines","volume":"113","author":"M G Ross","year":"2009","journal-title":"Obstet Gynecol"},{"key":"ref8","first-page":"2610980","article-title":"Umbilical cord hematoma: a case report and review of the literature","volume":"2018","author":"G Scutiero","year":"2018","journal-title":"Obstet Gynecol Int"},{"issue":"07","key":"ref9","doi-asserted-by":"crossref","first-page":"e70380","DOI":"10.1371\/journal.pone.0070380","article-title":"Prevalence, risk factors and outcomes of velamentous and marginal cord insertions: a population-based study of 634,741 pregnancies","volume":"8","author":"C Ebbing","year":"2013","journal-title":"PLoS One"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1186\/s13643-020-01355-0","article-title":"Velamentous cord insertion: results from a rapid review of incidence, risk factors, adverse outcomes and screening","volume":"9","author":"A Buchanan-Hughes","year":"2020","journal-title":"Syst Rev"},{"issue":"06","key":"ref11","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1038\/jp.2012.142","article-title":"Severe neonatal anemia from fetomaternal hemorrhage: report from a multihospital health-care system","volume":"33","author":"R D Christensen","year":"2013","journal-title":"J Perinatol"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/S0020-7292(01)00445-3","article-title":"Characteristics of fetal heart rate tracings prior to uterine rupture","volume":"74","author":"A W Ayres","year":"2001","journal-title":"Int J Gynaecol Obstet"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2412-3169.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T18:56:39Z","timestamp":1741287399000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2412-3169"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,1]]},"references-count":12,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2025,3,6]]},"published-print":{"date-parts":[[2025,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2412-3169","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,1]]}}}