Severe Hemorrhage from the Umbilical Cord at Birth: A Preventable Cause of Neonatal Shock

Posthemorrhagic anemia is a rare but important cause of anemia in neonates, second only to hemolytic anemia of newborn. Most cases of posthemorrhagic anemia are reported from fetomaternal hemorrhage or umbilical cord accidents in utero. This case report describes a preterm infant who developed sever...

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Main Authors: Neetu Singh, Gautham Suresh
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2013/317627
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author Neetu Singh
Gautham Suresh
author_facet Neetu Singh
Gautham Suresh
author_sort Neetu Singh
collection DOAJ
description Posthemorrhagic anemia is a rare but important cause of anemia in neonates, second only to hemolytic anemia of newborn. Most cases of posthemorrhagic anemia are reported from fetomaternal hemorrhage or umbilical cord accidents in utero. This case report describes a preterm infant who developed severe anemia and shock immediately after delivery related to an acute hemorrhage through patent umbilical cord vessels secondary to a tear in the umbilical cord at the site of cord clamping. We believe that umbilical cord bleeding from errors in cord clamping could be an important cause of acute blood loss in the delivery room and that it may result in significant clinical morbidity, especially in extremely premature infants.
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spelling doaj-art-e4740180241f4e4daf0a343726d09cc32025-08-20T02:21:34ZengWileyCase Reports in Pediatrics2090-68032090-68112013-01-01201310.1155/2013/317627317627Severe Hemorrhage from the Umbilical Cord at Birth: A Preventable Cause of Neonatal ShockNeetu Singh0Gautham Suresh1Department of Pediatrics, Division of Neonatology, Dartmouth Hitchcock Medical Center, 1 Medical Center Drive, Rubin 529, Lebanon, NH 03756, USADepartment of Pediatrics, Division of Neonatology, Dartmouth Hitchcock Medical Center, 1 Medical Center Drive, Rubin 529, Lebanon, NH 03756, USAPosthemorrhagic anemia is a rare but important cause of anemia in neonates, second only to hemolytic anemia of newborn. Most cases of posthemorrhagic anemia are reported from fetomaternal hemorrhage or umbilical cord accidents in utero. This case report describes a preterm infant who developed severe anemia and shock immediately after delivery related to an acute hemorrhage through patent umbilical cord vessels secondary to a tear in the umbilical cord at the site of cord clamping. We believe that umbilical cord bleeding from errors in cord clamping could be an important cause of acute blood loss in the delivery room and that it may result in significant clinical morbidity, especially in extremely premature infants.http://dx.doi.org/10.1155/2013/317627
spellingShingle Neetu Singh
Gautham Suresh
Severe Hemorrhage from the Umbilical Cord at Birth: A Preventable Cause of Neonatal Shock
Case Reports in Pediatrics
title Severe Hemorrhage from the Umbilical Cord at Birth: A Preventable Cause of Neonatal Shock
title_full Severe Hemorrhage from the Umbilical Cord at Birth: A Preventable Cause of Neonatal Shock
title_fullStr Severe Hemorrhage from the Umbilical Cord at Birth: A Preventable Cause of Neonatal Shock
title_full_unstemmed Severe Hemorrhage from the Umbilical Cord at Birth: A Preventable Cause of Neonatal Shock
title_short Severe Hemorrhage from the Umbilical Cord at Birth: A Preventable Cause of Neonatal Shock
title_sort severe hemorrhage from the umbilical cord at birth a preventable cause of neonatal shock
url http://dx.doi.org/10.1155/2013/317627
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