| 词条 | Velamentous cord insertion |
| 释义 |
| name = Velamentous cord insertion | synonyms = | image = Insertio velamentosa.JPG | caption = Placenta with velamentous cord insertion. | pronounce = | field = | symptoms = | complications = | onset = | duration = | types = | causes = | risks = | diagnosis = | differential = | prevention = | treatment = | medication = | prognosis = | frequency = | deaths = }} Velamentous cord insertion is an abnormal condition during pregnancy. Normally, the umbilical cord inserts into the middle of the placenta as it develops. In velamentous cord insertion, the umbilical cord inserts into the fetal membranes (choriamniotic membranes), then travels within the membranes to the placenta (between the amnion and the chorion). The exposed vessels are not protected by Wharton's jelly and hence are vulnerable to rupture. Rupture is especially likely if the vessels are near the cervix, in which case they may rupture in early labor, likely resulting in a stillbirth. This is a serious condition called vasa previa. Not every pregnancy with a velamentous cord insertion results in vasa previa, only those in which the blood vessels are near the cervix. When a velamentous cord insertion is discovered, the obstetrician will monitor the pregnancy closely for the presence of vasa previa. If the blood vessels are near the cervix, the baby will be delivered via cesarean section as early as 35 weeks to prevent the mother from going into labor, which is associated with a high infant mortality. Early detection can reduce the need for emergency cesarean sections.[1] References1. ^{{cite journal|vauthors=Hasegawa J, Matsuoka R, Ichizuka K, Sekizawa A, Okai T|title=Velamentous cord insertion: significance of prenatal detection to predict perinatal complications|journal=Taiwan J Obstet Gynecol|volume=45|issue=1|pages=21–5|date=March 2006|pmid=17272203|doi=10.1016/S1028-4559(09)60185-6|url= }} Further reading
External links{{Medical resources| DiseasesDB = 34591 | ICD10 = {{ICD10|O|43|1|o|30}} | ICD9 = {{ICD9|762.6}} | ICDO = | OMIM = | MedlinePlus = | eMedicineSubj = med | eMedicineTopic = 3276 | MeshID = }}{{Pathology of pregnancy, childbirth and the puerperium}}{{Certain conditions originating in the perinatal period}}{{perinatal-disorder-stub}} 1 : Pathology of pregnancy, childbirth and the puerperium |
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