Velamentous cord insertion: a rare cause of emergency caesarean section

• Main Authors: Raimi Z,, Ng, Beng Kwang, Abdul Kadir AK,, Lim, Pei Shan
• Format: Article
• Language: English
• Published: Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre 2016
• Online Access: http://journalarticle.ukm.my/10242/1/9._raimi_et_al..pdf; http://journalarticle.ukm.my/10242/; http://jsurgacad.com/toc

Pregnancies complicated with velamentous cord insertion (VCI) are at risk of adverse perinatal outcome. Placental and umbilical cord assessment should be performed during routine obstetric ultrasound. We report a case of velamentous cord insertion that was not identified antenatally. A 28-year-old primigravida at 40 weeks gestation presented in active phase of labour. Intrapartum, cardiotocography (CTG) tracing was pathological. Thus, decision was made for emergency caesarean section and a velamentous cord insertion was found. Despite a favourable outcome, this case highlighted the importance of antenatal diagnosis of VCI and thus preventing catastrophic outcome.