Q&A

What do you do when you have marginal cord insertion?

What do you do when you have marginal cord insertion?

There is no effective treatment to correct marginal umbilical cord insertion. Once the umbilical cord attaches abnormally there is nothing doctors can do to correct the attachment.

Does marginal cord insertion correct itself?

The good news is that sometimes marginal cord insertion will correct itself over time. In a velamentous cord insertion (VCI), the umbilical blood vessels insert into the amniotic sac instead of the placenta. This type of abnormal cord insertion is less common, occurring in only .

What is considered marginal cord insertion?

Insertion of the umbilical cord within <2 cm from the placental margin is described as marginal cord insertion (usually defined as <2 cm 5 although some references define it as <1 cm 3,6). Whereas lateral insertion of the umbilical cord >2 cm from the placental margin is described as eccentric cord insertion.

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.

When is marginal cord insertion diagnosed?

When velamentous cord insertion is diagnosed during pregnancy, it is usually during an ultrasound performed in the second trimester.

What causes a marginal cord insertion?

Marginal cord insertion (MCI), with an incidence ranging from 2 to 25% [5], is thought to be associated with different risk factors like bleeding in pregnancy, advanced maternal age, pregnancies conceived with the aid of artificial reproductive technology, maternal chronic disease, and drug abuse during pregnancy [6].

Can marginal cord insertion cause preterm labor?

Marginal cord insertion leads to intrauterine growth retardation (due to a decrease in blood flow to the developing fetus), low birth weight, low Apgar score [7], preterm labor, and development of velamentous type [6, 8].

Does marginal 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.

How does a compressed umbilical cord happen?

Umbilical cord compression occurs when the baby’s weight, the placenta or the vaginal walls put pressure on the cord during pregnancy, labor or delivery. Cord compression during pregnancy is a common problem.

What causes umbilical cord problems?

Umbilical cord conditions include the cord being too long or too short, not connecting well to the placenta or getting knotted or squeezed. These conditions can cause problems during pregnancy, labor and birth.