Velamentous Cord Insertion

becky7683

Hi, 

I have never posted on this board - I'm 21 weeks and just found out today that I have velamentous cord insertion.  Anyone have any experience with this?  I thought I had marginal cord insertion which is a little less risky ... trying not to worry too much but sometimes pgal brain can take over! 

Becky 

chicagobride_07

I had VCI. I think on its own you should be just fine. If you haven't already, ask for a color Doppler to rule out vasa previa. VP needs to be carefully managed and frequently occurs with VCI. GL!

Mustardseed2007

I have this right now. It was also diagnosed at 21 weeks on my anatomy scan. At the time the doctor wasn't worried too much about it (since then they've found I have placenta accreta as well so I'm now with my high risk OB full time rather than on consult).

When the condition was discovered, they did schedule a more detailed scan with a high risk OB who could look at the chord in color to see blood flow. They should also do more frequent ultrasounds to just check and make sure that it doesn't develop into vasa previa and to monitor baby's growth (a risk with VCI is that the baby will experience delayed growth or interrupted growth). A high risk OB that may have more advanced equipment can evaluate the baby's growth and the cord to better to see if you are having that problem or if you're totally fine.

Finally your doctor may decide he/she wants to do a c section just to prevent the cord from being damaged by going into labor so you should talk to your doctor about whether he/she feels that is the safest path for you.

I don't know if that helps or hurts, but the final, and maybe most important thing to remember is that you should feel good that your doctor found this now b/c many times VCI is not detected until labor. Trying to figure this stuff out on the fly during delivery is much harder and much more dangerous than when you go in knowing what the deal is.

becky7683

Thank you both for your responses!  I have an appointment at the end of the month, and I am planning on asking all of these questions.  At first I was worried about being a pain - but I'd rather be safe than sorry! 

Medic99

I had this on top of other problems with my last pregnancy. Some Drs will not let you deliver vaginally if it is severe. Bug the heck out of the Drs so you get all the info you need.