Should I worry about Velamentous cord?
Should I worry about Velamentous cord?
Velamentous cord insertion can lead to complications for the fetus. Once the baby is born, they may be more likely to be transferred to the neonatal intensive care unit (NICU). They may have a low Apgar score (a ranking of a baby’s physical condition), an abnormal heart rate, or other physical issues.
Is velamentous cord insertion considered high risk?
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 Velamentous placenta?
A velamentous cord insertion is when a fetus’ umbilical cord abnormally inserts on the edge of the placenta along the chorioamniotic membranes, causing fetal blood vessels to travel unprotected from the placenta until they come together and reach the protection of the umbilical cord.
How rare is velamentous cord insertion?
Velamentous insertion occurs in approximately 1 percent of singleton gestations [5], but is observed in as many as 15 percent of monochorionic twin gestations [8–10]. It is also more common in placenta previa than in normally located placentas.
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.
Can Velamentous cord insertion cause birth defects?
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.
Can you have a normal delivery with velamentous cord insertion?
Other Complications Other outcomes are possible with velamentous cord insertion. Low birth weight is one of the most common. Some studies suggest that babies with velamentous cord insertion are more likely to be delivered early and to require care in a neonatal intensive care unit.
Can Velamentous cause birth defects?
Is velamentous cord insertion hereditary?
Causes and Risk Factors No one knows what causes velamentous cord insertion, but researchers have identified several risk factors. It happens more often in pregnancies involving twins. It occurs in about 1% of pregnancies resulting in one child but in almost 9% of twin pregnancies.
Does vasa previa affect the baby?
In vasa previa, membranes that contain blood vessels connecting the umbilical cord and placenta lie across or near the opening of the cervix—the entrance to the birth canal. Vasa previa may cause massive bleeding in the fetus and mother when the membranes around the fetus rupture, usually just before labor starts.