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- W3001127908 abstract "Membranous umbilical vessels at the placental insertion represents a velamentous umbilical cord without Wharton’s jelly, the rest of the umbilical cord being usually normal. The lack of Wharton’s jelly makes the vessels prone to compression and rupture, especially when they are located in the membranes covering the cervical os – in vasa praevia. Velamentous cord insertion is more common in twin pregnancies than in singletons. We report the evolution and management in a case of a twin dichorionic pregnancy with a single velamentous cord insertion. A 19-year-old woman, primigravida, para I, without prior investigations, presented at the ambulatory compartment of the “Elias” University Emergency Hospital Bucharest for a consult. An abdominal ultrasound was performed, showing a twin pregnancy with both alive, male fetuses, with significant difference between the estimated fetal weights. The patient refused the admission. After four days, she returned at the emergency ward with uterine contractions. The ultrasound revealed fetus A alive and fetus B without heartbeat. An emergency caesarean section was performed: a healthy neonate of 2690 g with APGAR 8, and a stillborn of 1241 g were delivered. Postpartum, it was determined that the pregnancy was dichorionic, diamniotic, with central umbilical cord insertion of the fetus A and a velamentous cord insertion of fetus B. The velamentous insertion on the interamniotic membrane for fetus B explained the fetal growth restriction and his antepartum death by rupture of a vessel." @default.
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- W3001127908 date "2019-01-01" @default.
- W3001127908 modified "2023-10-18" @default.
- W3001127908 title "Fatal outcome in dichorionic twin pregnancy with velamentous cord insertion – case report" @default.
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- W3001127908 doi "https://doi.org/10.26416/obsgin.67.4.2019.2769" @default.
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