What causes abnormal cord insertion?
The exact causes of marginal cord insertion are not understood. No causative factors have been linked to marginal umbilical cord insertion and there is no genetic, racial, or geographical predisposition associated with this condition. The one well-known risk factor for marginal cord insertion is a multiple pregnancy.
Should I worry about marginal cord insertion?
Marginal umbilical cord insertion As long as the baby is receiving a good flow of oxygen and nutrients from the mother, there is no need to worry. But marginal cord insertion can develop into the dangerous velamentous cord insertion later in pregnancy, so it must be monitored carefully.
What is the consequence of an abnormal umbilical cord insertion?
Cord knots result in miscarriage or stillbirth in 5 percent of cases (1). During labor and delivery, a tightening knot can cause the baby to have heart rate abnormalities that are detected by fetal monitoring. In some cases, a cesarean delivery may be necessary.
Can cord insertion change?
The good news is that sometimes marginal cord insertion will correct itself over time. In a velamentous cord insertion (VCI), the umbilical blood vessels insert into the amniotic sac instead of the placenta. This type of abnormal cord insertion is less common, occurring in only .
Is marginal cord insertion a high risk pregnancy?
Pregnancies complicated by marginal cord insertion are at higher risk to develop low birth weight (AOR = 2.89, 95% CI: 1.23–6.80), preterm birth (AOR = 4.00, 95% CI: 1.44–11.14), and emergency cesarean delivery (AOR = 3.68, 95% CI: 1.03–13.81).
How common is umbilical cord prolapse?
This condition occurs when the umbilical cord drops (prolapses) between the fetal presenting part and the cervix into the vagina. Umbilical cord prolapse occurs prior to or during delivery of the baby. The overall incidence is reported at 0.16%-0.18% or approximately one in every 300 births.
Can marginal insertion correct itself?
Is marginal cord insertion considered a high risk pregnancy?
Can you have a healthy baby with velamentous cord insertion?
Some studies suggest that babies with velamentous cord insertion are more likely to be delivered early and to require care in a neonatal intensive care unit. Also, babies may have lower scores on the Apgar, a test used to measure a baby’s health at birth. Velamentous cord insertion can cause problems for mothers, too.
What are the most common birth complications?
What are the most common pregnancy and labor complications?
- High blood pressure. High blood pressure occurs when the arteries that carry blood from the heart to the organs and the placenta are narrowed.
- Gestational diabetes.
- Preeclampsia.
- Preterm labor.
- Miscarriage.
- Anemia.
- Infections.
- Breech position.
Can I have a healthy baby with velamentous cord insertion?
Can a baby survive cord prolapse?
For most babies, there is no long-term harm from cord prolapse. However, even with the best care, some babies can suffer brain damage if there is a severe lack of oxygen (birth asphyxia). Rarely, a baby can die.
Who is at risk for prolapsed cord?
Emergent delivery, typically via cesarean delivery, is needed when umbilical cord prolapse is suspected. Maternal and fetal risk factors for cord prolapse include malpresentation, 5 6 7 8 second twin, 5 8 prematurity, 7 9 multiparity, 6 7 polyhydramnios, 7 and unengaged presenting part.
Is marginal cord insertion considered high risk?
Can marginal cord insertion cause death?
Typically, marginal cord insertion has little negative effect. However, there is a high risk of hemorrhage, or blood loss, for infants with velamentous cord insertion because the umbilical blood vessels are unprotected by umbilical tissue.
Is velamentous cord insertion a high risk pregnancy?
Abnormal cord insertions are associated with increased rates of abnormal FHR tracings and Cesarean deliveries. In particular, a VCI should be deemed a high-risk pregnancy and a warning sign of a possible vasa previa.
Is velamentous cord insertion high risk?
Velamentous and Marginal Cord Insertion Risks Typically, marginal cord insertion has little negative effect. However, there is a high risk of hemorrhage, or blood loss, for infants with velamentous cord insertion because the umbilical blood vessels are unprotected by umbilical tissue.
What are the abnormalities associated with short or long umbilical cords?
Complications associated with long or short umbilical cord may explain this enigma. Excessively short cords have been associated with a delay in second stage of labor, irregular fetal heart rate, placental abruption, rupture of umbilical cord, inversion of uterus, birth asphyxia, and cord herniation.
What causes umbilical cord resistance?
Or the blood flow through the umbilical cord may be limited. Factors in both the mother and the baby may cause FGR. Factors in the mother that can cause FGR include: High blood pressure or other heart and blood vessel disease.
What is the treatment of cord prolapse?
Management and Treatment Umbilical cord prolapse is an acute obstetric emergency that requires immediate delivery of the baby. The route of delivery is usually by cesarean section. The doctor will relieve cord compression by manually elevating the fetal presentation part until cesarean section is performed.