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minimal cord implantation in twin A

thomp07thomp07
in Multiples

Anyone else have this issue with one or both of your twins? I'm 14 weeks along and experiencing bleeding so I've had several ultrasounds in the last few days. At the last one we saw that twin A's cord is implanted in the upper corner of the placenta, rather than in the middle. No previa and my doc says its too soon to identify an abruption, so still no explanation for the bleeding. I do know, however, that its not related to anything going on with the cord on baby A.

My primary concern is the cord. Anyone experience this? How did it work out?

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Re: minimal cord implantation in twin A

  • goldengracegoldengrace
    I had marginal cord insertion and it ended up being fine. I delivered at 34w5 days and my boys were 5lbs and 6lbs. They spent 2 weeks in the NICU, but just as growers/feeders. hth!
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  • wndrwmn1998wndrwmn1998
    Both of my babies had a velementous cord insertion. It offered no real risks during pregnancy, but I was not allowed to attempt a vaginal birth. I delivered via C-section at 36 weeks due to pre-e, not the insertion. I was closely monitored during pregnancy, but it never caused any problems. Good luck to you!
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  • sunnybrook.sunnybrook. member
    My Baby B has a marginal cord insertion too. MFM discovered it at 18 weeks. At the time I was so overwhelmed with other problems, I didn't ask any questions. I later brought it up with my OB. He said it can cause problems during a vaginal delivery but since I must have a c-section (for other reasons), its not a big deal and not to worry about it. So far, both babies are doing great and Baby B weighs just as much as Baby A.
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  • JTOjrJTOjr

    Baby A has a marginal cord insertion.  Dr's didn't seem too concerned.  My peri said that we would most likely have a c-section due to this, but my regular OB said not necessarily....

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  • seattlestefseattlestef member

    My baby B had a velamentous cord insertion that was identified at 18w - she had always measured small before so this explained why. I never had any bleeding though. Her growth slowed further around 26 weeks and I had weekly u/s until I was induced at 34w5d due to pre-eclampsia. She had pretty much stopped growing at that point so they were going to induce me anyway. I did have a vaginal delivery with a breech extraction of baby B - I asked my dr since others on this board said their drs wouldn't allow vaginal delivery and she had no problems with it.

    At birth baby A was 5lbs 5oz and B was 3lbs 12oz, so much smaller, but she was perfectly healthy. Now at 6 months old she is still about 1.5 pounds smaller than her sister, but meeting all milestones and catching up quickly in size!

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  • aspen07aspen07
    Our Baby B has velamentous cord insertion (not sure if that is the same as what you are describing), but she (and my placenta) has other challenges that are compounding the problem.  I don't think velamentous cord insertion in and of itself necessarily means there will be issues (and the pp seem to be proof!).  Best wishes for a very healthy pregnancy!
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  • thomp07thomp07
    Thank you ladies for your stories and encouraging words! It helps a lot to have this information!
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  • mmbenchmmbench member

    Baby A had marginal cord placement for me.  I spent 10 weeks on bed rest trying to maximize blood flow to my placenta by lying on my left side and doing lots of protein.

    Girls were born at 34w and were 2 lbs 13 oz and 4 lbs 9 oz.  They spent 2 weeks in the NICU and came home together.

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  • seajay612seajay612 member
    My Baby B had velamentous cord insertion.  Like others, my doctor would not allow a vaginal birth due to this.  Both babies were breech, anyway.  The doctors told me one of the risks would be a smaller baby.  I delivered at 38w1d and Baby B was slightly bigger than A (6.3 and 5.10).  I'd never heard of anyone with this so it had me worried throughout the pregnancy.  In the end, everything was fine.
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