Everything You Need to Know About Velamentous Cord Insertion

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Everything You Need to Know About Velamentous
Cord Insertion
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When it comes to your growing baby, the umbilical
cord is their lifeline. It carries everything
your baby needs for survival and also disposes of
your babys waste. Hence, is there is an
abnormality in their umbilical cord can put your
pregnancy at a greater risk. One such abnormality
is a velamentous cord insertion, in which the
umbilical cord is abnormally inserted into the
placenta, leaving the babys blood vessels
unprotected. While this is a rare occurrence, it
needs to be monitored, and with the proper care,
the risk of complications is low.
How is it diagnosed? An ultrasound scan of the
umbilical cord and placenta will be required to
make the diagnosis. While it usually occurs in
the second trimester, some cases can be diagnosed
in the first trimester.
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• Can you have a velamentous cord insertion?
• While it is an extremely rare abnormality, you
  could be at a higher risk for the following
  reasons
• If you are diagnosed with either placenta previa
  or vasa previa
• If you are carrying identical twins who share the
  same placenta
• If you have an IVF pregnancy
• If you get pregnant when youre older

• Are there any complications that can affect you
  and your baby?
• The good news is that this condition is unlikely
  to harm your baby in the womb. However, there are
  chances of preterm birth, small-for-gestational-ag
  e baby, or a low Apgar score when it comes to
  your baby. Your baby may also need to be admitted
  to the neonatal intensive care unit (NICU) after
  delivery. When it comes to your pregnancy, the
  chances of complications are low, but its best
  to be aware of it
• Umbilical cord vessels Since the umbilical cord
  vessels are unprotected, there are greater
  chances of compression or rupture.
• C-section If the exposed umbilical cord vessels
  tear during labour, you will require an emergency
  C-section.
• Placenta delivery Your doctor may need to
  manually remove your placenta after delivery.
• Hemorrhage In some cases, there is a risk of
  bleeding when the placenta is delivered.

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What will happen after youre diagnosed with this
condition? After such a diagnosis, your doctor
will recommend more frequent ultrasound scans to
monitor the position of the placenta. To
carefully track your babys growth, your doctor
may also recommend weekly nonstress tests. If
your scans and tests are regular, your doctor
will not require to induce labour, but will also
not advise you to stay pregnant for more than 40
weeks. If you also have placenta previa or vasa
previa, your doctor may suggest a C-section
depending on its severity. However, when you go
into labour, you and your baby will be
continuously monitored. After delivery, it may
take longer to deliver your placenta, since the
doctor will not pull the umbilical cord to get
the placenta to detach. However, theres no need
to worry about this, as you will be monitored
during the entire process. Unfortunately, a
condition like this cannot be predicted or
avoided. Its a rare condition, with even rarer
chances of further complications you will need
more ultrasound scans.
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