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- Title
Delicate threads: A case study on velamentous placenta and its clinical significance.
- Authors
Anand, Smriti; Dahiya, Pushpa; Madan, Shikha; Dahiya, Sonia
- Abstract
Velamentous placenta insertion is a rare and potentially serious pregnancy complication involving the abnormal attachment of the umbilical cord to the fetal membranes rather than to the placenta. This case report details the management of a 23-year-old primigravida at 38 weeks of gestation who presented to the labor room in spontaneous labor. Initial examination revealed a term-size uterus, vertex presentation, and moderate contractions, with a fetal heart rate of 144/min. Despite an unremarkable start to labor, persistent fetal heart decelerations post-amniotomy led to the discovery of velamentous insertion of the placental cord. This case discusses the challenges, decision-making process, and outcomes associated with this rare condition, ultimately resulting in an uneventful postoperative period and successful discharge on the 5th day for both mother and baby.
- Subjects
FETAL heart rate; PLACENTA; PREGNANCY complications; UMBILICAL cord; FETAL heart
- Publication
Asian Journal of Medical Sciences, 2024, Vol 15, Issue 5, p278
- ISSN
2467-9100
- Publication type
Case Study
- DOI
10.3126/ajms.v15i5.62471