BMJ Case Reports 2009; doi:10.1136/bcr.06.2008.0081
  • Images in...

The feto-amnio-placental complex

  1. Mohammad Sami Walid
  1. Department of Obstetrics and Gynecology, Kuban State Medical University, 350063 Krasnodar, Russia
  1. mswalid{at}
  • Published 2 February 2009

The feto-amnio-placental complex is the fetal life support system. During labour, the membranes are torn and at the end of labour expelled from the uterus with the placenta as the afterbirth.

This is a rare picture of the feto-amnio-placental complex, the result of a third trimester spontaneous abortion in a multiparous woman (fig 1). On admission, no fetal heartbeat was detected on ultrasound. After discussing the situation with the patient the obstetrician decided to let the abortion go naturally and not interfere with the expulsion process. After a few hours the whole feto-amnio-placental complex was delivered as one entity with the amnion intact. The paediatrician opened the amniotic sac and auscultated the heart with a stethoscope. No heart sounds were detected.

Figure 1 Photograph of the feto-amnio-placental complex.

The fetus has his right arm bent at the elbow with the hand behind the occipit. The maternal side of the placenta faces the photographer.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article