Velamentous Cord Insertion

Re: Velamentous Cord Insertion

• chicagobride_07 member

  January 2014

  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!

  
  DOR and AMA
  2/12-5/12: 4 IUI cycles = all BFN;
  7/12: DE IVF # 1 (with ICSI)- 20R, 16M, 14F, 5DT of 2 blasts; 6 frosties = BFN;
  Lupus anticoagulant initially high, then found to be normal on hematology consult;
  Follow up testing in September all clear;
  Started synthroid for "high normal" TSH;
  FET # 1- late October 2012- BFP on FRER; beta # 1- 21(low), beta # 2- 48 (still low), beta # 3- 132, beta # 4- 1,293; beta # 5- 5,606; last beta- over 100,000. First u/s 11/21- heard heartbeat
  12/12- Officially an OB patient!
  Level 2 ultrasound at 20 weeks shows vasa previa and VCI
  Referral to MFM and mandatory c section for delivery
  Beautiful baby girl born at 34 weeks
  Finally home after 15 day NICU stay!
  Trying for sibling: FET # 2- May 2014; beta 5/31, BFN
  FET #3, early July 2014; beta 7/14, BFN
  DE IVF # 2- August 2014; 14R, 13M, 11F, 5dt of 2 blasts (3 AA), 5 frosties = BFN
  FET #4- December 2014, yet another BFN

  Dr. KK work up shows borderline uterine blood flow, elevated NK cells, and MTHFR mutation (homozygous for c677t)

  Added baby aspirin, prednisone, supplements, Metanx, and intralipids

  Switched to large clinic for final attempt; had endometrial receptivity testing in January; FET March 2015 = yet another BFN

  Likely OAD- NBC

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• Mustardseed2007 member

  January 2014

  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.

  
  

  
  

  
  

  
  

   

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• becky7683 member

  January 2014

  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! 

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• Medic99 member

  January 2014

  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.

  
  
  
  

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