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Absence of Wharton’s jelly
  1. Sarah J Murphy,
  2. Nikita Deegan,
  3. Bobby D O'Leary and
  4. Peter McParland
  1. Obstetrics and Gynaecology, National Maternity Hospital, Dublin, Ireland
  1. Correspondence to Dr Sarah J Murphy; sarah-j-murphy{at}


Wharton’s jelly is a specialised tissue which surrounds the vasculature within the fetal umbilical cord. We present the case of a 42-year-old woman who gave birth to a female infant via emergency caesarean section. At the time of delivery, absence of Wharton’s jelly was noted. This finding was confirmed by histological examination. Emergency caesarean section was necessitated due to a fetal bradycardia, and of note, the patient had presented twice prior to this with reduced fetal movements.

  • obstetrics and gynaecology
  • pregnancy
  • materno-fetal medicine

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  • Twitter @sarahjmurp, @bobbyoleary3

  • Contributors All authors contributed to the design of this case report. SJM collecting the case data, penned the manuscript draft and corresponded with the patient to obtain consent and patient perspective. ND and BDO reviewed and amended the manuscript draft. The supervising author PM supported the authors and approved the final manuscript for submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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