International Journal of Clinical Case Reports 2017, Vol.7, No.15, 62-66
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Figure 1 trace of cardiotocograph
Macroscopic examination of the placenta showed a
velamentous cord insertion
with rupture of a main vascular
bronchus (Figure 2).
Figure 2 Velamentous cord insertion with an injury in a vessel
2 Discussion
Benckiser's hemorrhage is a serious obstetric event involving fetal life expectancy through exsanguination.
Fortunately rare, its frequency varies from 1/2000 to 1/5000 deliveries (Heckel et al., 1993; Nohuz et al., 2015).
This frequency is higher in multiple pregnancies.
Many risk factors have been reported; it is essential to know them in order to make a prenatal oriented screening
of this fearful affection. These risk factors are represented by: the placenta inserted low, bipartita and
multilobulate, aberrant cotyledon and the
velamentous cord insertion
(Carbonnel et al., 2007; Chmait et al., 2010;
Gagnon et al., 2010). Indeed, in the presence of a
velamentous
y insertion of the cord associated with a placenta
praevia, the incidence of vasa praevia is estimated at 1/50 (Hasegawa et al., 2011; Nishtar and Wood, 2012).
Moreover, in many authors, in vitro fertilization (IVF) would be a risk factor, since it multiplies the risk by ten
(Baulies et al., 2007; Chmait et al., 2010; Cipriano et al., 2010; Gagnon et al., 2010; Hasegawa et al., 2011;
Nishtar and Wood, 2012). Of these, it would be desirable to carry out systematic screening in patients with risk
factors.
