Is velamentous cord insertion a high risk pregnancy?

Yes, velamentous cord insertion can cause birth defects such as an abnormal heart rate, a baby being small for gestational age, and other complications associated with preterm birth should an early delivery be required.

What do you do if you have velamentous cord insertion?

How will I be treated for velamentous cord insertion? If you have velamentous cord insertion, your caregiver will monitor your baby and the placenta carefully with ultrasounds. Some practitioners also recommend regular (usually weekly) nonstress testing. During labor, your baby will receive continuous fetal monitoring.

Does Velamentous cord insertion require C section?

In the absence of vasa previa or placenta previa, it’s unlikely you would need a C-section based on a diagnosis of velamentous cord insertion alone. During labor you’ll likely have to be continuously monitored with a fetal heart monitor to make sure there are no complications from the abnormal cord placement.

Can Velamentous cord insertion cause preeclampsia?

In pregnancies with anomalous cord insertion [velamentous (VCI) or marginal (MCI)] the risks of preeclampsia, abruption of the placenta, placenta previa, fetal growth restriction, preterm birth and fetal death are increased, as well as the risk of maternal complications in the third stage of labor 3, 4.

What does Velamentous cord insertion mean?

Velamentous cord insertion is an abnormal cord insertion in which the umbilical vessels diverge as they traverse between the amnion and chorion before reaching the placenta. With a reported incidence of 1% in singleton pregnancies, it has been associated with several obstetric complications.

Can you have a healthy baby with marginal cord insertion?

Marginal umbilical cord insertion Usually, this is not a problem—many women with this condition deliver healthy babies. As long as the baby is receiving a good flow of oxygen and nutrients from the mother, there is no need to worry.

Should I worry about marginal cord insertion?

Marginal umbilical cord insertion As long as the baby is receiving a good flow of oxygen and nutrients from the mother, there is no need to worry. But marginal cord insertion can develop into the dangerous velamentous cord insertion later in pregnancy, so it must be monitored carefully.

How common is marginal placental cord insertion?

Introduction. Velamentous and marginal cord insertions occur in 1.5 and 6.3% of all singleton pregnancies, respectively, with both conditions being associated with an increased risk of adverse pregnancy outcome 1.

Can marginal cord insertion cause birth defects?

Complications from Marginal Cord Insertion Reduced fetal blood flow can cause intrauterine growth restriction (IUGR) and other developmental abnormalities in the fetus. Marginal cord insertion (and the secondary conditions it can lead to such as IUGR) can potentially result in premature birth.

Where does the umbilical cord go in a velamentous insertion?

In a normal gestational sac, the umbilical cord is inserted into the middle of the placenta and entirely enclosed in the amniotic sac. In a velamentous insertion, the cord inserts itself into the amniotic membrane rather than in the placenta. The baby’s blood vessels then stretch along the membrane between the insertion point and the placenta.

Where does the umbilical cord insert into the placenta?

Placenta with velamentous cord insertion. Velamentous cord insertion is an abnormal condition during pregnancy. Normally, the umbilical cord inserts into the middle of the placenta as it develops.

How big is peripheral insertion of umbilical cord?

This case-control study assessed the potential relevance of peripheral insertion of UC (PIUC), defined as <3 cm from the nearest margin. Singleton placentas (n = 1418) submitted to the pathology department over an 18-month period were analyzed.

What are the symptoms of marginal insertion of the umbilical cord?

The signs and symptoms of Marginal Insertion of Umbilical Cord may include: 1 Excessive hemorrhage/bleeding during childbirth. 2 Blood vessel compression. 3 Decreased blood flow to the fetus.