Velamentous insertion of the umbilical cord and vasa previa

@article{Paavonen1984VelamentousIO,
  title={Velamentous insertion of the umbilical cord and vasa previa},
  author={Jorma Paavonen and K Jouttunp{\"a}{\"a} and P Kangasluoma and P Aro and Pentti K. Heinonen},
  journal={International Journal of Gynecology \& Obstetrics},
  year={1984},
  volume={22}
}
Twin pregnancy complicated by vasa previa
TLDR
A case of vasa previa in a twin pregnancy was diagnosed postnatally, which leads to complications with the first twin, and transvaginal ultrasound screening with colour flow Doppler can allow antenatal diagnoses of vase previa and an improved outcome.
First trimester ultrasound prediction of velamentous cord insertions: a prospective study
  • S. Derisbourg, A. Boulay, C. Daelemans
  • Medicine
    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
  • 2019
TLDR
The detection of a low lying umbilical cord insertion during the first-trimester ultrasound can help to predict an abnormal cord insertion at delivery particularly a velamentous cord insertion.
Vasa praevia: cord vessels running through the foetal membranes from the uterine fundus to the internal os
TLDR
A 30-year-old primigravida was noted to have a velamentous insertion of the umbilical cord at her 18th gestational week ultrasound examination; the placenta was fundal, and vasa praevia was diagnosed.
VARIATIONS IN PLACENTAL ATTACHMENT OF UMBILICAL CORD AND ITS CLINICAL CORRELATIONS
TLDR
Variations in the placental attachment of umbilical cord are also associated with abnormalities in the foetus as well as the mother.
Sonographic Prenatal Diagnosis of Marginal Placental Cord Insertion
TLDR
A prenatal diagnosis of marginal placental cord insertion is not associated with increased risk of growth impairment or preterm delivery, and rates of birth weight below the 10th percentile and pre term delivery were not significantly different from those in the general population.
Vasa Previa: An Unusual Cause Of Fetal Distress
TLDR
The patient was hospitalized for induction on 18 June 1989, at 41 weeks' gestation by dates, after deep variable fetal heart decelerations were noted over a period of 2 to 3 minutes with minimal contractions.
Ante- and intrapartum diagnosis of vasa praevia in singleton pregnancies by colour coded Doppler sonography.
Vasa praevia: A missed diagnosis
Summary Vasa praevia is an uncommon obstetric complication, which if undiagnosed is associated with a high fetal mortality because of the rapid haemorrhage from tearing of fetal vessels resulting in
Reply
TLDR
Several arguments can be brought forward against the low incidence of vasa previa, which is partly dependent on the diagnostic efforts made to detect this disease.
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References

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Velamentous insertion of the umbilical cord.
TLDR
From 54 cases reported in the literature since 1952, it appears that the fetal mortality is likely to remain very high in this condition, at least for the foreseeable future.
Marginal insertion of the cord and premature labor.
Vasa previa: a major complication and its management.
TLDR
It is shown that fetal vessel rupture may occur independently of membrane rupture, and the blood that is lost should be tested for the presence of fetal hemoglobin.
Melena neonatorium: the swallowed-blood syndrome.
The length and insertion of the umbilical cord.
  • E. Purola
  • Medicine
    Annales chirurgiae et gynaecologiae Fenniae
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