Velamentous cord insertion as a risk factor for obstetric outcome: a retrospective case–control study

@article{Yerlikaya2015VelamentousCI,
  title={Velamentous cord insertion as a risk factor for obstetric outcome: a retrospective case–control study},
  author={G{\"u}len Yerlikaya and Sophie Pils and Stephanie Springer and Kinga M Chalubinski and Johannes Ott},
  journal={Archives of Gynecology and Obstetrics},
  year={2015},
  volume={293},
  pages={975-981}
}
PurposeVelamentous umbilical cord insertion (VCI) is associated with adverse pregnancy outcomes. Literature lacks data on Doppler. We aimed to evaluate obstetric outcomes and results of uterine and umbilical artery Doppler flowmetry associated with VCI.Materials and methodsIn a retrospective case–control study, 108 singleton pregnancies with VCI were age- and body mass index-matched to 108 singleton pregnancies without VCI. The main outcome parameters were obstetric outcome, pregnancy-related… 
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.
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.
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.
Accuracy of fetal anatomy survey in the diagnosis of velamentous cord insertion: a case–control study
TLDR
The identification of a VCI at the time of fetal anatomy survey is highly specific for the presence of aVCI as documented by placental pathology, although the sensitivity in this study was less than expected.
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.
Velamentous cord insertion ruptured during labour leading to acute fetal blood loss
TLDR
A 38-year-old nulliparous woman was admitted at 39 weeks in labour with sudden watery vaginal discharge and bleeding with a rapid drop in the fetal heart rate to 60 beats/min necessitated an emergency caesarean section.
Performance of ultrasound for the visualization of the placental cord insertion.
TLDR
Although the visualization of the PCI was lower with advancing gestational age, it remained high even into the late third trimester, and Ultrasound with color Doppler is also an excellent screening test for the diagnosis of VCI.
Evaluation of the impact of vasa previa on feto-placental hormonal synthesis and fetal growth.
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