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Umbilical Cord Insertion Abnormalities

  • Kenneth Tou En ChangEmail author
  • Sze Jet Aw
Chapter

Abstract

The insertion of the umbilical cord can be central, eccentric (or paracentral), marginal, velamentous, interpositional, furcate or tethered. This chapter discusses the clinical associations and risks of each type of insertion.

Keywords

Cord insertion Central Eccentric Marginal Velamentous Interpositional Furcate Tethered 

References

  1. 1.
    Uyanwah-Akpom P, Fox H. The clinical significance of marginal and velamentous insertion of the cord. Br J Obstet Gynaecol. 1977;84:941–3.CrossRefGoogle Scholar
  2. 2.
    Khong TY, Mooney EE, Ariel I, Balmus NCM, Boyd TK, Brundler MA, et al. Sampling and definitions of placental lesions: Amsterdam Placental Workshop Group Consensus Statement. Arch Pathol Lab Med. 2016;140:698–713.CrossRefGoogle Scholar
  3. 3.
    Ismail KI, Hannigan A, O’Donoghue K, Cotter A. Abnormal placental cord insertion and adverse pregnancy outcomes: a systematic review and meta-analysis. Syst Rev. 2017;6:242.CrossRefGoogle Scholar
  4. 4.
    Heifetz SA. The umbilical cord: obstetrically important lesions. Clin Obstet Gynecol. 1996;39:571–87.CrossRefGoogle Scholar
  5. 5.
    Ebbing C, Kiserud T, Johnsen SL, Albrechtsen S, Rasmussen S. Prevalence, risk factors and outcomes of velamentous and marginal cord insertions: a population-based study of 634,741 pregnancies. PLoS One. 2013;8:e70380.CrossRefGoogle Scholar
  6. 6.
    Kent E, Breathnach F, Gillan J, McAuliffe F, Geary M, Daly S, et al. Placental cord insertion and birthweight discordance in twin pregnancies: results of the national prospective ESPRiT Study. Am J Obstet Gynecol. 2011;205:376.e1–7.CrossRefGoogle Scholar
  7. 7.
    Ismail KI, Hannigan A, Kelehan P, O’Donoghue K, Cotter A. Abnormal placental cord insertion and adverse pregnancy outcomes: results from a prospective cohort study. Am J Perinatol. 2017;34:1152–9.CrossRefGoogle Scholar
  8. 8.
    Suzuki S, Kato M. Clinical significance of pregnancies complicated by velamentous umbilical cord insertion associated with other umbilical cord/placental abnormalities. J Clin Med Res. 2015;7:853–6.CrossRefGoogle Scholar
  9. 9.
    McLennan JE. Implications of the eccentricity of the human umbilical cord. Am J Obstet Gynecol. 1968;101:1124–30.CrossRefGoogle Scholar
  10. 10.
    Robinson LK, Jones KL, Benirschke K. The nature of structural defects associated with velamentous and marginal insertion of the umbilical cord. Am J Obstet Gynecol. 1983;146:191–3.CrossRefGoogle Scholar
  11. 11.
    Schachter M, Tovbin Y, Arieli S, Friedler S, Ron-El R, Sherman D. In vitro fertilization is a risk factor for vasa previa. Fertil Steril. 2002;78:642–3.CrossRefGoogle Scholar
  12. 12.
    Eddleman KA, Lockwood CJ, Berkowitz GS, Lapinski RH, Berkowitz RL. Clinical significance and sonographic diagnosis of velamentous umbilical cord insertion. Am J Perinatol. 1992;9:123–6.CrossRefGoogle Scholar
  13. 13.
    Swanberg H, Wiqvist N. Rupture of the umbilical cord during pregnancy: report of a case. Acta Obstet Gynecol Scand. 1951;30:203–10.CrossRefGoogle Scholar
  14. 14.
    Brouillet S, Dufour A, Prot F, Feige JJ, Equy V, Alfaidy N, et al. Influence of the umbilical cord insertion site on the optimal individual birth weight achievement. Biomed Res Int. 2014;2014:341251.CrossRefGoogle Scholar
  15. 15.
    Luo G, Redline RW. Peripheral insertion of umbilical cord. Pediatr Dev Pathol. 2013;16:99–404.CrossRefGoogle Scholar
  16. 16.
    Liu CC, Pretorius DH, Scioscia AL, Hull AD. Sonographic prenatal diagnosis of marginal placental cord insertion: clinical importance. J Ultrasound Med. 2002;21:627–32.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Pathology and Laboratory MedicineKK Women’s and Children’s HospitalSingaporeRepublic of Singapore
  2. 2.Duke-NUS Medical SchoolSingaporeRepublic of Singapore

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