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Case Reports in Pediatrics
Volume 2013, Article ID 317627, 2 pages
http://dx.doi.org/10.1155/2013/317627
Case Report

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

Department of Pediatrics, Division of Neonatology, Dartmouth Hitchcock Medical Center, 1 Medical Center Drive, Rubin 529, Lebanon, NH 03756, USA

Received 17 July 2013; Accepted 13 August 2013

Academic Editors: C. Aldana-Valenzuela, W. B. Moskowitz, J. Muraskas, and I. Riaño Galán

Copyright © 2013 Neetu Singh and Gautham Suresh. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.