Clinical analysis of 53 cases of velamentous umbilical cord insertion

XING Yue; ZHU Danmo; PAN Biqiong; LIU Xilong; LU Dan

doi:10.7619/jcmp.20212584

Journal of Clinical Medicine in Practice > 2022 > 26(4): 24-27. > DOI: 10.7619/jcmp.20212584

XING Yue, ZHU Danmo, PAN Biqiong, LIU Xilong, LU Dan. Clinical analysis of 53 cases of velamentous umbilical cord insertion[J]. Journal of Clinical Medicine in Practice, 2022, 26(4): 24-27. DOI: 10.7619/jcmp.20212584

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Clinical analysis of 53 cases of velamentous umbilical cord insertion

XING Yue^{1, 2},
ZHU Danmo²,
PAN Biqiong^{1, 2},
LIU Xilong²,
LU Dan^2, ,

1.
Dalian Medical University, Dalian, Liaoning, 116044
2.
Department of Obstetrics and Gynecology, Clinical College of Yangzhou University, Subei People's Hospital in Jiangsu Province, Yangzhou, Jiangsu, 215000

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Received Date: June 21, 2021
Available Online: March 21, 2022
Published Date: February 27, 2022

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Abstract

Abstract

Objective To investigate the effect of velamentous umbilical cord insertion(VCI)on the outcome of perinatal infants and the clinical strategies for the management of VCI.
Methods The clinical data of 53 VCI patients (VCI group) were retrospectively analyzed, and 17 877 non-VCI patients were included in the non-VCI group. The influence of VCI and prenatal VCI on perinatal outcomes was analyzed. The causes of poor perinatal prognosis of VCI were summarized.
Results The incidence rates of fetal growth restriction, stillbirth, premature delivery and cesarean section in the VCI group showed significant differences compared with those in the non-VCI group(P < 0.05). The perinatal prognosis of the VCI group was worse than that of the non-VCI group, and the difference was statistically significant (P < 0.05). Of the 53 VCI perinatal births, three died (dilivered by patients diagnosed with VCI after birth), including 1 with rupture of anterior vessel (VP), 1 with umbilical cord torsion, and 1 with placental abruption. Of the 53 patients with VCI, thirty-one were confirmed by prenatal ultrasound, and 21 of them were detected by ultrasound at 18 to 24 weeks of gestation; eight cases were detected by ultrasonography at 25 to 35 weeks of gestation; two cases were found by ultrasound after 36 weeks of gestation.
Conclusion The incidence of VCI in pregnant women is low, but it can lead to adverse perinatal outcomes. The detection rate of VCI ultrasonography in early pregnancy is higher, and definite prenatal diagnosis can improve perinatal prognosis.
- velamentous umbilical cord insertion,
- perinatal infant,
- vasa praevia,
- ultrasonography,
- poor outcomes,
- umbilical cord torsion,
- placental abruption

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