What is the most common complication associated with velamentous cord insertion?
Velamentous cord insertion can cause vasa previa, which means the unprotected blood vessels lie between the baby and the mother’s birth canal. When labor begins, the blood vessels may break, putting the baby at risk of serious blood loss.
What causes Velamentous?
The exact cause of velamentous cord insertion is unknown, although risk factors include nulliparity, the use of assisted reproductive technology, maternal obesity, and pregnancy with other placental anomalies. Velamentous cord insertion is often diagnosed using an abdominal ultrasound.
How serious is velamentous cord insertion?
Happily, the chances that this pregnancy complication can hurt your baby are very low. That said, velamentous cord insertion can increase the risk of preterm birth, a small-for-gestational-age baby, low Apgar score, and the need for a stay in the neonatal intensive care unit (NICU) after birth.
What will happen to the Foetus if umbilical cord is not functioning?
Umbilical cord problems can cause birth asphyxia (dangerous oxygen deprivation), which can in turn lead to birth injuries such as hypoxic-ischemic encephalopathy (HIE) and cerebral palsy.
Does velamentous cord insertion cause birth defects?
During labor, your baby will receive continuous fetal monitoring. While velamentous cord insertion and marginal cord insertion can be distressing to learn about, keep in mind that they are very unlikely to cause any problems in your pregnancy.
Can you deliver vaginally with Velamentous cord?
AROM can cause membranous umbilical vessel damage and harm the fetus. Second, immediate management at the time of fetal heartbeat deceleration is critical. Delivery choices are vaginal or Cesarean delivery.
Are there any abnormalities in the umbilical cord?
Umbilical cord abnormalities can be related to cord coiling, length, and thickness; the placental insertion site; in utero distortion; vascular abnormalities; and primary tumors or masses. These conditions may be associated with other fetal anomalies and aneuploidies, and their discovery should prompt a thorough fetal US examination.
How are the umbilical cords attached to the placenta?
The umbilical cord insertion (or attachment) to the placenta is a key part of this delivery system. There are 4 different types of umbilical cord insertions to the placenta. Only two of these four types of umbilical cord insertion are considered to be abnormal: (1) marginal cord insertion and, (2) velamentous cord insertion.
Why does the umbilical cord twist to the left?
The umbilical cord twists toward the left more frequently than to the right. This is thought to be due to the distribution of the helical muscle fibers in the umbilical cord vessels ( 6 ). Coiling is thought to protect the cord by adding strength and resisting compression of the vessels.
Can a marginal cord insertion be detected early in pregnancy?
Marginal cord insertion does not result in any noticeable physical symptoms early in the pregnancy. Abnormal insertion of the umbilical cord is fairly easy to diagnose with a prenatal ultrasound and physical examination. The problem is that ultrasound scanning cannot determine the type of placenta and umbilical cord abnormality.