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Umbilical cord compression can result from, for example, entanglement of the cord, [16] a knot in the cord, [16] or a nuchal cord, [16] (which is the wrapping of the umbilical cord around the fetal neck) [17] but these conditions do not always cause obstruction of fetal circulation. Velamentous cord insertion; Single umbilical artery; Umbilical ...
In velamentous cord insertion, the vessels of the umbilical cord are improperly inserted in the chorioamniotic membrane, and hence the vessels traverse between the amnion and the chorion towards the placenta. [1] [11] Without Wharton's jelly protecting the vessels, the exposed vessels are susceptible to compression and rupture. [1] [9]
The umbilical arteries surround the urinary bladder and then carry all the deoxygenated blood out of the fetus through the umbilical cord. Inside the placenta, the umbilical arteries connect with each other at a distance of approximately 5 mm from the cord insertion in what is called the Hyrtl anastomosis. [1]
Risk factors for vasa praevia include velamentous insertion of the umbilical cord, placenta praevia in the second semester of the pregnancy, accessory placental lobes (succenturiate or bilobate placenta []), multiple gestation, and assisted reproduction, especially in vitro fertilisation; [2] an estimated 26% of instances are in pregnancies achieved with medical assistance. [3]
The amnion is the innermost layer and, therefore, contacts the amniotic fluid, the fetus and the umbilical cord. [5] The internal pressure of the amniotic fluid causes the amnion to be passively attached to the chorion. [4] The chorion functions to separate the amnion from the maternal decidua and uterus. [4]
The medial umbilical ligament, cord of umbilical artery, or obliterated umbilical artery is a paired structure found in human anatomy. It is on the deep surface of the anterior abdominal wall , and is covered by the medial umbilical folds ( plicae umbilicales mediales ).
An umbilical cable or umbilical is a cable and/or hose that supplies required consumables to an apparatus, like a rocket, or to a person, such as a diver or astronaut. It is named by analogy with an umbilical cord .
It usually develops between week 16 and 25 of pregnancy, during peak placental growth. The cause of the developmental effects on a surviving fetus may include necrotic embolisms from a dead fetus, low blood volume due to pooling in the dead fetus or velamentous cord insertion (insertion of the umbilical cord into the chorioamniotic membranes). [3]