Velamentous Cord Insertion: Significance of Prenatal Detection to Predict Perinatal Complications

In the maternal and child health statistics of Japan for 2003, perinatal deaths were most frequent in pregnant women with abnormalities of the placenta, umbilical cord, and fetal membrane. Despite advances in perinatal medicine, approximately 2% of low-risk pregnant women still require an emergency...

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Main Authors: Junichi Hasegawa, Ryu Matsuoka, Kiyotake Ichizuka, Akihiko Sekizawa, Takashi Okai
Format: Article
Language:English
Published: Elsevier 2006-03-01
Series:Taiwanese Journal of Obstetrics & Gynecology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1028455909601856
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author Junichi Hasegawa
Ryu Matsuoka
Kiyotake Ichizuka
Akihiko Sekizawa
Takashi Okai
author_facet Junichi Hasegawa
Ryu Matsuoka
Kiyotake Ichizuka
Akihiko Sekizawa
Takashi Okai
author_sort Junichi Hasegawa
collection DOAJ
description In the maternal and child health statistics of Japan for 2003, perinatal deaths were most frequent in pregnant women with abnormalities of the placenta, umbilical cord, and fetal membrane. Despite advances in perinatal medicine, approximately 2% of low-risk pregnant women still require an emergency cesarean section after the onset of labor. Because it is likely that half of these cases are associated with placental and umbilical cord abnormalities, it is thought that prenatal detection of such abnormalities would reduce the number of emergency cesarean sections in low-risk women. In our previous studies, some abnormalities of the placenta and umbilical cord were associated with abnormalities of cord insertion. Furthermore, we reported that prenatal detection of velamentous cord insertion (VCI) reduced the number of emergency cesarean sections in low-risk women. In this review, we describe the prenatal detection of abnormalities of umbilical cord insertion and the management of VCI based on our current clinical data.
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spelling doaj.art-1c44aff91a374126895cbc8cc50591812022-12-22T03:23:29ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592006-03-01451212510.1016/S1028-4559(09)60185-6Velamentous Cord Insertion: Significance of Prenatal Detection to Predict Perinatal ComplicationsJunichi HasegawaRyu MatsuokaKiyotake IchizukaAkihiko SekizawaTakashi OkaiIn the maternal and child health statistics of Japan for 2003, perinatal deaths were most frequent in pregnant women with abnormalities of the placenta, umbilical cord, and fetal membrane. Despite advances in perinatal medicine, approximately 2% of low-risk pregnant women still require an emergency cesarean section after the onset of labor. Because it is likely that half of these cases are associated with placental and umbilical cord abnormalities, it is thought that prenatal detection of such abnormalities would reduce the number of emergency cesarean sections in low-risk women. In our previous studies, some abnormalities of the placenta and umbilical cord were associated with abnormalities of cord insertion. Furthermore, we reported that prenatal detection of velamentous cord insertion (VCI) reduced the number of emergency cesarean sections in low-risk women. In this review, we describe the prenatal detection of abnormalities of umbilical cord insertion and the management of VCI based on our current clinical data.http://www.sciencedirect.com/science/article/pii/S1028455909601856velamentous cord insertionvasa previaumbilical cordprenatal diagnosisultrasoundplacenta previavariable deceleration
spellingShingle Junichi Hasegawa
Ryu Matsuoka
Kiyotake Ichizuka
Akihiko Sekizawa
Takashi Okai
Velamentous Cord Insertion: Significance of Prenatal Detection to Predict Perinatal Complications
Taiwanese Journal of Obstetrics & Gynecology
velamentous cord insertion
vasa previa
umbilical cord
prenatal diagnosis
ultrasound
placenta previa
variable deceleration
title Velamentous Cord Insertion: Significance of Prenatal Detection to Predict Perinatal Complications
title_full Velamentous Cord Insertion: Significance of Prenatal Detection to Predict Perinatal Complications
title_fullStr Velamentous Cord Insertion: Significance of Prenatal Detection to Predict Perinatal Complications
title_full_unstemmed Velamentous Cord Insertion: Significance of Prenatal Detection to Predict Perinatal Complications
title_short Velamentous Cord Insertion: Significance of Prenatal Detection to Predict Perinatal Complications
title_sort velamentous cord insertion significance of prenatal detection to predict perinatal complications
topic velamentous cord insertion
vasa previa
umbilical cord
prenatal diagnosis
ultrasound
placenta previa
variable deceleration
url http://www.sciencedirect.com/science/article/pii/S1028455909601856
work_keys_str_mv AT junichihasegawa velamentouscordinsertionsignificanceofprenataldetectiontopredictperinatalcomplications
AT ryumatsuoka velamentouscordinsertionsignificanceofprenataldetectiontopredictperinatalcomplications
AT kiyotakeichizuka velamentouscordinsertionsignificanceofprenataldetectiontopredictperinatalcomplications
AT akihikosekizawa velamentouscordinsertionsignificanceofprenataldetectiontopredictperinatalcomplications
AT takashiokai velamentouscordinsertionsignificanceofprenataldetectiontopredictperinatalcomplications