Spontaneous umbilical cord hematoma causing still birth: a case report in Madagascar

Lyn Z. A. Rabetsimamanga, Hary F. Rabarikoto, Eddie B. Rekoronirina, Hery R. Andrianampanalinarivo


Spontaneous umbilical cord hematoma is uncommon complication during delivery. It is responsible for severe fetal distress or death. We report a case of a 28 year-old primigravida Malagasy woman at the 37th weeks of gestation. She was admitted in the delivery room for beat oscillating on the fetal heart monitoring at the beginning of labour. Cesarean section was indicated for acute fetal distress in monitoring at dilation 5cm of the cervix traduced by some decelerations.  But she gives birth to a still born female fetus by vaginal way short time after. A 5,5 cm hematoma was discovered on umbilical cord. This still birth may be due to anoxia during acute compression of the umbilical vessels by the hematoma. So, placental and cord examinations in cases of unexplained fetal hypoxia and stillbirth are very important.


Madagascar, Umbilical cord, Spontaneous hematoma, Still birth

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Sizun J, Soupre D, Broussine L, Girou JD, Piriou P, Ventrillon E al. Spontaneous umbilical cord hematoma, a rare cause of acute fetal distress. Arch Pediatr. 1995;2(12):1182-3.

Towers CV, Juratsch CE, Garite TJ. The fetal heart monitor tracing in pregnancies complicated by a spontaneous umbilical cord hematoma. J Perinatol 2009;29(7):517-20.

Arora PK, Mohandas S, Mc Andrew S, Karody V. Spontaneous Umbilical Cord Hematoma. J Pediatr. 2017;184:233.

Tonni G, Bonasoni MP, De Felice C, Rossi A, Tonni S. Histopathological findings in spontaneous hematoma of the umbilical cord: severe hypoxic-ischemic encephalopathy in a term survived newborn. Am J Forensic Med Pathol 2015;36(4):254-6.

Feng D, He W. Spontaneous umbilical artery haematoma diagnosed in the third trimester: a case report. J Obstet Gynaecol. 2018;31:1-2.

Abraham A, Rathore S, Gupta M, Benjamin SJ. Umbilical Cord Haematoma Causing Still Birth- A Case Report. J Clin Diagn Res. 2015;9(12):QD01-2.

Gualandri G, Rivasi F, Santunione AL, Silingardi ESpontaneous umbilical cord hematoma: an unusual cause of fetal mortality: a report of 3 cases and review of the literature. Am J Forensic Med Pathol. 2008;29(2):185-90.

Keckstein G, Tschürtz S, Schneider V, Hütter W, Terinde R, Jonatha WD. Umbilical cord haematoma as a complication of intrauterine intravascular blood transfusion. Prenat Diagn. 1990;10(1):59-65.

S. Ballas, S. Gitstein and J. Kharasch. Fetal heart rate variation with umbilical haematoma. Postgraduate Med J. 1985;61:753-5.

Sutro WH, Tuck SM, Loesevitz A, Novotny PL, Archbald F, Irwin GAL. Prenatal Observation of Umbilical Cord Hematoma. AJR. 1984;142:801-2.