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Journal of Case Reports
True Knot of Umbilical Cord Causing Term IUD

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Jacob KJ, Deepak AV, Jose CV, Rohini VK
Department of Obstetrics and Gynecology, Government Medical College,  Thrissur, Kerala, India.
Corresponding Author:
Dr. Jacob KJ
Email: kj.jacob@yahoo.com
Received: 24-APR-2015 Accepted: 01-MAY-2015 Published Online: 25-MAY-2015
DOI: http://dx.doi.org/10.17659/01.2015.0056
Abstract
Introduction: True knot of the umbilical cord can cause fetal jeopardy during labour due to tightening of the knot. But true knot causing fetal demise before labour is rare. Case Report: A 22 year old primigravida with uneventful antenatal period reported with absent fetal movements at 37 weeks. Evaluation revealed IUD and she delivered a fresh still born baby after labour induction. There was a true knot at the middle of the cord with ischemic changes in the cord. Conclusion: True knot of the umbilical cord is rare. This should be considered as one of the causes for sudden intrauterine demise, not only during labour but also near term especially in a well baby which is actively moving around.
Keywords : Umbilical cord, Pregnancy, Fetal Death, Fetal Movement, Term Birth.
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