ACUTE POST HEMORRHAGIC ANEMIA AND SHOCK IN NEONATE DUE TO RUPTURE UMBILICAL CORD DURING DELIVERY

Umbilical cord rupture in utero is a very rare and critical emergency that can cause fetal death within minutes. Umbilical cords rupture can be associated with normal or adverse perinatal outcomes leading to stillbirth, asphyxia, fetal distress, and neurologic damage. When rupture does occur in utero signs of fetal distress appear and fetal mortality rate is approximately 50%. We present the rare case of severe anaemia and shock immediately after delivery related to severe neonatal blood loss due to intrapartum umbilical cord rupture where there was a tight nuchal cord and the placenta was bilobed with a Succenturiate lobe. The umbilical cord ruptures close to the babys side near the abdominal wall.This is an unusual site, as most cases tend to rupture from the weakest site at the insertion of the cord to the abnormal placenta.Following stabilization and resuscitation, the baby survived and recovered well.