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Ultrasound shows dead baby during 29th week of pregnancy. Had umbilical cyst near placenta insertion. Suggestions?

hi madam my wife is pregnant and having umbilical cyst near placenta insertion, in 29th week baby movements suddenly stopped and while observing there are no kicks,so after observing next 2 days we are gone for checkup and doctor told me that baby is dead and there is no heart beat,but in 28th week scanning everything is perfect as per radiologist.what may be the reasons for baby death
Asked On : Tue, 1 Jan 2013
Answers:  2 Views:  296
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OBGYN 's  Response
Hello, I would be happy to help you with your question.

I am terribly sorry about your loss! From what you are saying, it does not sound like your wife has delivered yet. The umbilical cord cysts are not common, but I have seen them a few times over my career. It is the only clue thus far to a problem that has resulted in the worst possible outcome. Hopefully this will prompt a thorough evaluation of the fetus after the birth, that will specifically include a karyotype (chomosomal analysis) in order to look for an explanation for what has happened.

The fact that you recently had a normal ultrasound was reassuring at the time, but the workup of a fetal death is extensive and includes evaluation of the mother (e.g. looking for diabetes, blood pressure disease), evaluation of the pregnancy and placenta (e.g. looking for an abruption or bleeding related to the placenta) and evaluation of the baby (e.g. an autopsy and karyotype).

I hope that this helps. I cannot express enough my sorrow for your situation.
Answered: Wed, 2 Jan 2013
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OBGYN Dr. Aarti Abraham's  Response
Mar 2013
Thanks for your query.
Any abnormal growth on the cord connecting the fetus to the placenta is called an umbilical cord cyst.
Most cyst spontaneously resolve by the third trimester.
About 20% of babies with umbilical cysts have complications, including chromosomal abnormalities and omphalocele, a condition where the intestines protrude outside the abdominal cavity. These are particularly so when the cyst persists into the third trimester, as happened in your case. The cyst can potentially rupture during delivery, causing life-threatening bleeding in the baby. There might be hemorrhage ( bleeding ) within the cyst, which can cause fetal death.

Ideally, you should have undergone amniocentesis to diagnose added abnormalities. Atleast now, you should definitely go for fetal autopsy once the baby is delivered, and analysis of the baby
and the placenta both.
Also, other causes like maternal diabetes, hypertension, jaundice , abruption ( bleeding into the placenta ) , should have been ruled out by your gynecologist.

Answered: Wed, 2 Jan 2013
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