What does velamentous insertion mean?
A velamentous cord insertion is a rare pregnancy complication in which the umbilical cord is abnormally inserted into the placenta. In a normal gestational sac, the umbilical cord is inserted into the middle of the placenta (central insertion) and entirely enclosed in the amniotic sac.
Is velamentous cord insertion considered high risk?
Velamentous and Marginal Cord Insertion Risks Typically, marginal cord insertion has little negative effect. However, there is a high risk of hemorrhage, or blood loss, for infants with velamentous cord insertion because the umbilical blood vessels are unprotected by umbilical tissue.
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 is velamentous cord insertion in pregnancy?
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.
When is velamentous cord insertion diagnosis?
Your practitioner would likely be able to diagnose velamentous cord insertion based on ultrasound images of the placenta and umbilical cord — usually during the second trimester (although in some cases it can be detected in first trimester scans).
What can you do with 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.
Can you have a healthy baby with velamentous cord insertion?
The cord implants itself next to the placenta, in neighboring tissue, and then travels to the placenta. There is no way to correct velamentous cord insertion, but as long as the baby is still receiving blood from the mother, the pregnancy can be successful, though studies have shown one in four end in miscarriage.
Can 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.
What do you do if you have velamentous cord insertion?
What Velamentous means?
Filters. (medicine) Of or relating to an abnormal condition during pregnancy in which the umbilical cord inserts into the fetal membranes, then travels within the membranes to the placenta, risking rupture of the exposed vessels.
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 causes velamentous cord?
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.
What is a velamentous cord insertion?
A velamentous cord insertion is a pregnancy complication in which the umbilical cord is abnormally inserted into the placenta. In a normal gestational sac, the umbilical cord is inserted into the middle of the placenta (central insertion) and entirely enclosed in the amniotic sac.
What is a velamentous implantation?
In a velamentous insertion, the umbilical cord inserts itself into the amniotic membrane rather than in the placenta. The baby’s blood vessels stretch along the membrane between the insertion point and the placenta. As such, the vessels are unprotected because the substance that typically surrounds them, Wharton’s jelly, is missing. 2
What is the difference between normal gestational sac and 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.
What are the risks of velamentous insertion of umbilical cord (Vic)?
However, multiple pregnancies, advanced age of the mother, and smoking during pregnancy are some of the risks for the condition The signs and symptoms of Velamentous Insertion of Umbilical Cord may include excessive hemorrhage during childbirth and decreased blood supply to the fetus, which may affect fetal growth and development