Velamentous cord insertion: is it associated with adverse perinatal outcomes?*

@article{Esakoff2015VelamentousCI,
  title={Velamentous cord insertion: is it associated with adverse perinatal outcomes?*},
  author={Tania F. Esakoff and Yvonne W. Cheng and Jonathan M Snowden and Susan H. Tran and Brian L Shaffer and Aaron B. Caughey},
  journal={The Journal of Maternal-Fetal \& Neonatal Medicine},
  year={2015},
  volume={28},
  pages={409 - 412}
}
INTRODUCTION Velamentous cord insertion (VCI) can be identified on prenatal ultrasound with an incidence of around 1. [] Key Method Statistical analysis was performed using Chi squared tests and multivariable logistic regression analyses.
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.
Obstetric Outcomes in Singleton Pregnancies with Abnormal Placental Cord Insertions.
TLDR
The results suggest that serial fetal growth assessments in this population may be warranted, and if an abnormal PCI is identified, the provider should consider serial growth ultrasounds.
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.
Abnormal Placental Cord Insertion and Adverse Pregnancy Outcomes: Results from a Prospective Cohort Study
TLDR
Digital imaging analysis using ImageJ software mapped the surface of the placenta and provided objective measurement of PCI site, and abnormal PCIs were significantly associated with an increased risk of small for gestational age and low birth weight.
Placental cord insertion distance from the placental margin and its association with adverse perinatal outcomes.
Clinical Significance of Pregnancies Complicated by Velamentous Umbilical Cord Insertion Associated With Other Umbilical Cord/Placental Abnormalities
TLDR
VCI is associated with an increased risk of adverse perinatal outcomes irrespective of the presence of other umbilical cord/placental abnormalities.
Abnormal placental cord insertion and adverse pregnancy outcomes: a systematic review and meta-analysis
TLDR
The available evidence suggests an association between abnormal PCI and emergency cesarean delivery, however, the number of studies with comparable definitions of abnormal PCI was small, limiting the analysis of other adverse pregnancy outcomes, and further research is required.
Title Abnormal placental cord insertion and adverse pregnancy outcomes : a systematic review and meta-analysis
TLDR
The available evidence suggests an association between abnormal PCI and emergency cesarean delivery, however, the number of studies with comparable definitions of abnormal PCI was small, limiting the analysis of other adverse pregnancy outcomes, and further research is required.
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.
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References

SHOWING 1-10 OF 13 REFERENCES
Clinical significance and sonographic diagnosis of velamentous umbilical cord insertion.
TLDR
Pregnancy outcomes in VCI patients with 77 singleton gestations were compared with a control group of 15,865 patients and, in contrast to the existing literature, multiparity and prior cesarean section deliveries were not increased in pregnancies with VCI.
Velamentous cord insertion and atypical variable decelerations with no accelerations
Velamentous Insertion of the Umbilical Cord
  • W. Sepulveda
  • Medicine
    Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
  • 2006
TLDR
Sonographic examination at this early gestational age provides the opportunity for screening for velamentous insertion of the umbilical cord in the first trimester, allowing close surveillance of the pregnancy for potential complications associated with this condition.
Leiomyomas at Routine Second-Trimester Ultrasound Examination and Adverse Obstetric Outcomes
TLDR
Women with leiomyomas are at low risk for obstetric complications compared with women without leiomers, and these results suggest that preterm birth and intrauterine fetal death in women with a fetus with growth restriction were significantly associated with the presence of leioma.
Prenatal detection of velamentous insertion of the umbilical cord: a prospective color Doppler ultrasound study
TLDR
The aim of this study was to determine the feasibility of identifying velamentous insertion of the umbilical cord during routine obstetric ultrasound.
Reproductive risk factors, Doppler findings, and outcome of affected births in placental abruption: a population-based analysis.
TLDR
Current antepartum methods of detecting uteroplacental problems, including Doppler ultrasonography, are not effective in prenatal prediction of placental abruption, and the outcome of affected births is still poor.
Velamentous cord insertion into the lower third of the uterus is associated with intrapartum fetal heart rate abnormalities
To evaluate the accuracy of sonographic identification of the site of umbilical cord insertion (CI) at 18–20 weeks of gestation, to compare the sensitivities for detection of a velamentous cord
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