Can velamentous cord insertion be seen on ultrasound?

When velamentous cord insertion is diagnosed during pregnancy, it is usually during an ultrasound performed in the second trimester. As the baby enters the third trimester, unusual cord insertions can be harder to detect. If you or your baby have unusual symptoms during pregnancy, it can also lead to a diagnosis.

Should I be worried about velamentous cord insertion?

Velamentous cord insertion Can result in premature birth, decrease in fetal development, excessive bleeding during childbirth, fetal distress, and vasa previa.

How often does VCI turn into vasa previa?

VCI and vasa previa are associated with a higher incidence of poor outcome. 1.9. The chances of vasa previa recurring are said to be 1:3000, the same chance as for any other woman.

Can velamentous cord insertion cause stillbirth?

The growth – and the very life – of the fetus is dependent upon the health of the placenta. So there are major risks of adverse perinatal outcomes that include low birth weight, preterm delivery, hypoxia, fetal growth restriction, stillbirth, the need for a C-section, and low Apgar scores.

Can velamentous 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.

How do you treat velamentous cord insertion?

Although there is no known prevention or treatment for velamentous cord insertion, the best course of action, once it is discovered, is to get regular ultrasounds and closely monitor the fetus. Your healthcare provider may also suggest a nonstress test in the third trimester.

Does vasa previa ever resolve?

In many cases of vasa previa, the condition resolves itself at some point through the pregnancy. However, other patients may require specialized care for a healthy and safe delivery, and others have a higher risk of delivering their baby early.

Can vasa previa be missed?

A stark point observed by all these national and international guidelines is that even with the most standardised screening protocol, cases of vasa praevia will be missed and so it would not prevent all deaths.

Can you see velamentous cord insertion on ultrasound?

Velamentous cord insertion can be diagnosed through an ultrasound. It may be difficult to see during the first trimester of pregnancy but is easier to visualize during the second trimester. If you have been diagnosed with a velamentous insertion, your doctor may want to perform a c-section.

How common is velamentous cord insertion after a miscarriage?

In cases of miscarriage, velamentous cord insertion happens around 33% of the time when the pregnancy ends between nine and 12 weeks. In pregnancies that end between 13 and 16 weeks, the rate is a little lower at 26%. 1

What is a velamentous insertion?

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. 1

What are the risk factors for velamentous cord insertion?

Risk factors for developing a velamentous cord include having a two-lobed placenta, uterine anomalies, and the fetus having a single umbilical artery. Other risk factors to consider are: Velamentous cord insertion can lead to complications for the fetus.