Third stage of labor risks in velamentous and marginal cord insertion: a population‐based study

@article{Ebbing2015ThirdSO,
  title={Third stage of labor risks in velamentous and marginal cord insertion: a population‐based study},
  author={Cathrine Ebbing and Torvid Kiserud and Synn{\o}ve Lian Johnsen and Susanne Albrechtsen and Svein Rasmussen},
  journal={Acta Obstetricia et Gynecologica Scandinavica},
  year={2015},
  volume={94},
  pages={878 - 883}
}
To assess whether anomalous cord insertion is associated with risk of complications in the third stage of labor. 
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35 Citations
Background Citations
9
Results Citations
1

35 Citations

Perinatal Outcomes Associated With Isolated Velamentous Cord Insertion in Singleton and Twin Pregnancies
TLDR
To evaluate perinatal outcomes in singleton and twin pregnancies with pathologically confirmed velamentous cord insertion without vasa previa, a large number of women have had atypical cord prolapse during pregnancy.
Impact of Marginal and Velamentous Cord Insertion on Uterine Artery Doppler Indices, Fetal Growth, and Preeclampsia
TLDR
Abnormal cord insertion is more common in ART pregnancies and is significantly correlated with IUD, while MCI/VCI are associated with higher mean UtA PI and lower BW centile, but not with increased risk of PE.
Velamentous or marginal cord insertion and the risk of spontaneous preterm birth, prelabor rupture of the membranes, and anomalous cord length, a population‐based study
TLDR
The aim was to study whether anomalous cord insertion is associated with prelabor rupture of membranes (PROM), preterm PROM, long or short umbilical cord, and time trend of spontaneous preterm birth (SPTB) and anomalous Cord insertion.
Second‐Trimester Ultrasound‐Measured Umbilical Cord Insertion–to–Placental Edge Distance: Determining an Outcome‐Based Threshold for Identifying Marginal Cord Insertions
We sought to study potential diagnostic criteria for marginal placental cord insertions as determined by associations with obstetric outcomes.
Velamentous cord insertion: a rare cause of emergency caesarean section
TLDR
The case of a 28-year-old primigravida at 40 weeks gestation, who presented in active phase of labour, highlighted the importance of antenatal diagnosis of VCI and thus preventing catastrophic outcome.
Velamentous cord insertion: results from a rapid review of incidence, risk factors, adverse outcomes and screening
TLDR
In studies on limited numbers of cases, screening for VCI using TAS had good overall accuracy, driven by high specificity, and modelling studies may indicate the feasibility and value of studying the epidemiology of VCI and the potential impact of detecting VCI as part of a population screening programme for VP.
Retained placenta after vaginal birth
TLDR
A reasonable definition in the third trimester when the third stage of labor is actively managed (ie, administration of a uterotonic agent before delivery of the placenta, controlled cord traction) is found.
Antenatal Diagnosis of Marginal and Velamentous Placental Cord Insertion and Pregnancy Outcomes.
TLDR
Antenatal diagnosis of velamentous placental cord insertion is associated with birth weight less than the 5th percentile, and this relationship persisted after controlling for smoking during pregnancy, diabetes, and hypertension.
Clinical Significance of Velamentous Cord Insertion Prenatally Diagnosed in Twin Pregnancy
TLDR
There was no difference in the incidence of VCI in twins based on the chorionicity and VCI was not a risk factor for adverse perinatal outcomes excepting vasa previa and placenta accreta spectrum, which had a high incidence in twins with VCI.
Marginal cord insertion among singleton births at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia
TLDR
Routine screening of marginal cord insertion should be considered in pregnancies with advanced age, nulliparity, hypertensive disorder, history of cesarean section, and intrauterine contraceptive device usage before pregnancy.
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References

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TLDR
The aim of this study was to determine the feasibility of identifying velamentous insertion of the umbilical cord during routine obstetric ultrasound.
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Velamentous cord insertion: is it associated with adverse perinatal outcomes?*
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VCI is associated with an increased risk of adverse perinatal outcomes such as intrauterine fetal demise, SGA, preterm delivery <37 weeks, need for manual removal of placenta and post-partum hemorrhage.
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TLDR
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TLDR
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TLDR
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TLDR
Steps to minimize hemorrhagic complications include the identification of high-risk patients through a complete history, vigilant management of the third stage of labor, and having uterotonic medications readily available in the delivery room.
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