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A rare case of ante partum fetal death due to funicular pathology.

The authors describe a case of ante partum fetal death due to a true funicular knot combined with relative shortness of the cord as a results of a double nuchal coil. Separately, these complications are common occurrences and do not lead to fetal pathology except during labor. If, however, they are combined they may be responsible, as in the case described above, for ante partum fetal death as a result of vascular strangulation during sudden changes in the fetal position. The possibilities of diagnosing funicular complications are discussed but these are not apt to avoid the rare cases of sudden fetal death as a result of vascular occlusion in the ante partum period.