Intrapartum Intrauterine Fetal Demise with Normal Umbilical Cord Blood Gas Values at Birth

A case is presented in which a fetus was delivered by cesarean section for failure to progress and a “nonreassuring heart rate tracing” in which the Apgar scores were unexpectedly 0 at 1, 5, and 10 minutes. Resuscitation was unsuccessful after 30 minutes. The venous cord gas was normal and the arter...

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Main Author: Michael D. Benson
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2015/318350
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author Michael D. Benson
author_facet Michael D. Benson
author_sort Michael D. Benson
collection DOAJ
description A case is presented in which a fetus was delivered by cesarean section for failure to progress and a “nonreassuring heart rate tracing” in which the Apgar scores were unexpectedly 0 at 1, 5, and 10 minutes. Resuscitation was unsuccessful after 30 minutes. The venous cord gas was normal and the arterial blood gas was not consistent with intrapartum asphyxia. At the time of surgery, the placenta appeared grossly normal. The autopsy was entirely normal. This case raises questions about our understanding of intrauterine fetal demise and suggests an approach to future research.
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spelling doaj-art-aad158e762b3438ca9785f7fab72fef42025-02-03T06:44:46ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922015-01-01201510.1155/2015/318350318350Intrapartum Intrauterine Fetal Demise with Normal Umbilical Cord Blood Gas Values at BirthMichael D. Benson0Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, 101 Bentley Court, Deerfield, IL 60015, USAA case is presented in which a fetus was delivered by cesarean section for failure to progress and a “nonreassuring heart rate tracing” in which the Apgar scores were unexpectedly 0 at 1, 5, and 10 minutes. Resuscitation was unsuccessful after 30 minutes. The venous cord gas was normal and the arterial blood gas was not consistent with intrapartum asphyxia. At the time of surgery, the placenta appeared grossly normal. The autopsy was entirely normal. This case raises questions about our understanding of intrauterine fetal demise and suggests an approach to future research.http://dx.doi.org/10.1155/2015/318350
spellingShingle Michael D. Benson
Intrapartum Intrauterine Fetal Demise with Normal Umbilical Cord Blood Gas Values at Birth
Case Reports in Obstetrics and Gynecology
title Intrapartum Intrauterine Fetal Demise with Normal Umbilical Cord Blood Gas Values at Birth
title_full Intrapartum Intrauterine Fetal Demise with Normal Umbilical Cord Blood Gas Values at Birth
title_fullStr Intrapartum Intrauterine Fetal Demise with Normal Umbilical Cord Blood Gas Values at Birth
title_full_unstemmed Intrapartum Intrauterine Fetal Demise with Normal Umbilical Cord Blood Gas Values at Birth
title_short Intrapartum Intrauterine Fetal Demise with Normal Umbilical Cord Blood Gas Values at Birth
title_sort intrapartum intrauterine fetal demise with normal umbilical cord blood gas values at birth
url http://dx.doi.org/10.1155/2015/318350
work_keys_str_mv AT michaeldbenson intrapartumintrauterinefetaldemisewithnormalumbilicalcordbloodgasvaluesatbirth