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Effects of marginal umbilical cord insertion on the prognosis of fetus |
Y. Tian1, H. Luo1, *( ), M. He1 |
1Ultrasound Department, Sichuan University West China Second University Hospital/Key Laboratory of Obstetrics & Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, Chengdu, Si Chuan Province, P.R. China |
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Abstract Objective: To investigate the effect of marginal placental insertion of the umbilical cord on the prognosis of a fetus. Material and Methods: Retrospective analysis was performed to compare the differences in fetal weight (FW), placental weight (PW), fetal/placental weight ratio (FPR) and complications between 295 cases with marginal insertion of umbilical cord, and 297 cases with normal umbilical cord insertion. The cases studied, with marginal insertion of umbilical cord, were admitted between 2013-2017 to the Second Western China Hospital of Sichuan University. The cases were divided into “upper”, “lower” and “other”, according to the site of umbilical cord insertion into the placenta. Results: The FW was lower, while the incident of low-birth weight infants was higher in the marginal umbilical cord insertion group than in the normal umbilical cord insertion group. In the subgroup of lower marginal insertions, the PW and FW were lower and the FPR was higher than in the subgroup of upper marginal insertion sites.Conclusion: The fetus with lower marginal umbilical cord insertion should be attended closely, with frequent monitoring of the developmental indices in order to screen abnormal growth of the fetus.
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Published: 15 April 2020
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Fund: 2018JY0330/Applied Basic Research Program of Science and Technology Department of Sichuan Province |
*Corresponding Author(s):
H. Luo
E-mail: luohongcd1969@163.com
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[1] |
Ebbing C., Kiserud T., Johnsen S.L., et al.: “Prevalence risk factors and outcomes of velamentous and marginal cord insertions: A population-based study of 634741 pregnancies”. PLoS One, 2013, 8(7), e70380.
doi: 10.1371/journal.pone.0070380
pmid: 23936197
|
[2] |
Salafia C.M., Zhang J., Charles A.K., et al.: “Placental characteristics and birth weight”. Paediatr Perinat Epidemiol, 2008, 22, 229-239.
doi: 10.1111/j.1365-3016.2008.00935.x
pmid: 18426518
|
[3] |
Wallace J.M., Bhattacharya S., Horgan G.W.: “Gestational age, gender and parity specific centile charts for placental weight for singleton deliveries in Aberdeen, UK”. Placenta, 2013, 30, 269-274.
|
[4] |
Barker D.J., Bull A.R., Osmond C., Simmonds S.J.: “Fetal and placental size and risk of hypertension in adult life”. BMJ, 1990, 301, 259-262.
doi: 10.1136/bmj.301.6746.259
pmid: 2390618
|
[5] |
Luque-Fernandez M.A., Ananth C.V., Jaddoe V.W. et al.: “Is the fetoplacental ratio a differential marker of fetal growth restriction in small for gestational age infants?” Eur J Epidemiol. , DOI: 10.1007/s10654-015-9993-9.
doi: 10.1007/s10654-020-00651-2
pmid: 32564181
|
[6] |
De Paepe M.E., Shapiro S., Young L.E., Luks F.I.: “Placental weight, birth weight and fetal: placental weight ratio in dichorionic and monochorionic twin gestations in function of gestational age, cord insertion type and placental partition”. Placenta, 2015, V36N2, 213-20.
|
[7] |
Luo G.J., Redline R.W., : “Peripheral insertion of umbilical cord”. Pediatr Dev Pathol, 2013, V16N6, 399-404.
|
[8] |
Ebbing C., Johnsen S.L., Albrechtsen S., Sunde I.D., Vekseth C., Rasmussen S.: “Velamentous or marginal cord insertion and the risk of spontaneous preterm birth, prelabor rupture of the membranes, and anomalous cord length, a population-based study”. Acta Obstet Gynecol Scand., 2017, V96N1, 78-85.
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