{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:26:19Z","timestamp":1762431979305,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,11,2]]},"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:p>Wharton\u2019s jelly is a specialised tissue which surrounds the vasculature within the fetal umbilical cord. We present the case of a 42-year-old woman who gave birth to a female infant via emergency caesarean section. At the time of delivery, absence of Wharton\u2019s jelly was noted. This finding was confirmed by histological examination. Emergency caesarean section was necessitated due to a fetal bradycardia, and of note, the patient had presented twice prior to this with reduced fetal movements.<\/jats:p>","DOI":"10.1136\/bcr-2020-237222","type":"journal-article","created":{"date-parts":[[2020,11,30]],"date-time":"2020-11-30T15:46:04Z","timestamp":1606751164000},"page":"e237222","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Absence of Wharton\u2019s jelly"],"prefix":"10.1136","volume":"13","author":[{"given":"Sarah J","family":"Murphy","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, National Maternity Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikita","family":"Deegan","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, National Maternity Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bobby D","family":"O'Leary","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, National Maternity Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"McParland","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, National Maternity Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,11,30]]},"reference":[{"key":"2025082708475918000_13.11.e237222.1","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1097\/00006254-198912000-00002","article-title":"Umbilical cord anomalies and antenatal fetal deaths","volume":"44","author":"Clausen","year":"1989","journal-title":"Obstet Gynecol Surv"},{"key":"2025082708475918000_13.11.e237222.2","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1007\/s12098-007-0142-7","article-title":"Absence of Wharton's jelly around the umbilical arteries","volume":"74","author":"Kulkarni","year":"2007","journal-title":"Indian J Pediatr"},{"key":"2025082708475918000_13.11.e237222.3","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1016\/S0143-4004(85)80010-2","article-title":"Absence of Wharton's jelly around the umbilical arteries: an unusual cause of perinatal mortality","volume":"6","author":"Labarrere","year":"1985","journal-title":"Placenta"},{"key":"2025082708475918000_13.11.e237222.4","doi-asserted-by":"crossref","first-page":"372","DOI":"10.3109\/00016346109159935","article-title":"Mucoid degeneration of Wharton\u2019s jelly","volume":"40","author":"Bergman","year":"1961","journal-title":"Acta Obstet Gynecol Scand"},{"key":"2025082708475918000_13.11.e237222.5","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1002\/(SICI)1096-8628(19960424)62:4<348::AID-AJMG5>3.0.CO;2-N","article-title":"Linear disruption of umbilical cord: a rare anomaly of the cord associated with acute fetal distress and perinatal death\/profound psychomotor retardation","volume":"62","author":"Thomson","year":"1996","journal-title":"Am J Med Genet"},{"key":"2025082708475918000_13.11.e237222.6","unstructured":"Schke KB , Famann PK , Kaufmann P , et al . Anatomy and pathology of umbilical cord and major fetal vessels. In: Benirschke K , Kaufmann P , eds. Pathol of human placenta. 4 edn. New York: Springer, 2000: 337\u20138."},{"key":"2025082708475918000_13.11.e237222.7","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.tjog.2009.11.002","article-title":"Positive correlation between the quantity of Wharton's jelly in the umbilical cord and birth weight","volume":"50","author":"Filiz","year":"2011","journal-title":"Taiwan J Obstet Gynecol"},{"key":"2025082708475918000_13.11.e237222.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(00)00470-X"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-237222","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:48:07Z","timestamp":1756309687000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-237222"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11]]},"references-count":8,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2020,11,30]]},"published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1136\/bcr-2020-237222"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-237222","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,11]]}}}