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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]
Absence of the portal system in a first trimester case associated with hygroma and aorto-umbilical fistula. (A): Transverse plane of the upper abdomen with color Doppler applied, showing umbilical cord insertion, stomach, the prominent hepatic artery and no afferent liver venous perfusion; (B): midsagittal plane reconstructed from a three-dimensional volume acquisition were the crown-rump ...
The newborn, with normal APGAR scores and umbilical cord arterial pH levels, was admitted to the neonatal intensive care unit. Upon examining the placenta after delivery, it was noted that the placenta demonstrated the appearance of a circumvallate placenta, and also showed evidence of abnormal umbilical cord insertion into the placenta.
Obstetric ultrasonography, or prenatal ultrasound, is the use of medical ultrasonography in pregnancy, in which sound waves are used to create real-time visual images of the developing embryo or fetus in the uterus (womb).
The needle should be guided into the region of the maximum vertical pocket, where the single largest area of amniotic fluid devoid of fetal parts, umbilical cord, and placenta is available for sampling. [4] Amniotic fluid is composed of fetal cells, urine, and lung secretions.
During this time, the fetus receives all of its nutrition and oxygenated blood from the mother, filtered through the placenta, which is attached to the fetus' abdomen via an umbilical cord. This drain of nutrients can be quite taxing on the mother, who is required to ingest slightly higher levels of calories .
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]