Taiwanese Journal of Obstetrics and Gynecology
Volume 48, Issue 1 , Pages 23-27 , March 2009

Ultrasound Diagnosis and Management of Umbilical Cord Abnormalities

,Accepted 31 December 2008.

References 

  1. Eddleman KA , Lockwood CJ , Berkowitz GS , Lapinski RH , Berkowitz RL . Clinical significance and sonographic diagnosis of velamentous umbilical cord insertion . Am J Perinatol . 1992;9:123–126
  2. Heinonen S , Ryynanen M , Kirkinen P , Saarikoski S . Perinatal diagnostic evaluation of velamentous umbilical cord insertion: clinical, Doppler, and ultrasonic findings . Obstet Gynecol . 1996;87:112–117
  3. Ananth CV , Savitz DA , Williams MA . Placental abruption and its association with hypertension and prolonged rupture of membranes: a methodologic review and meta-analysis . Obstet Gynecol . 1996;88:309–318
  4. Ananth CV , Smulian JC , Vintzileos AM . Incidence of placental abruption in relation to cigarette smoking and hypertensive disorders during pregnancy: a meta-analysis of observational studies . Obstet Gynecol . 1999;93:622–628
  5. Toivonen S , Heinonen S , Anttila M , Kosma VM , Saarikoski S . Reproductive risk factors, Doppler findings, and outcome of affected births in placental abruption: a population-based analysis . Am J Perinatol . 2002;19:451–460
  6. Hasegawa J , Matsuoka R , Ichizuka K , Sekizawa A , Farina A , Okai T . Velamentous cord insertion into the lower third of the uterus is associated with intrapartum fetal heart rate abnormalities . Ultrasound Obstet Gynecol . 2006;27:425–429
  7. Hasegawa J , Matsuoka R , Ichizuka K , Sekizawa A , Farina A , Okai T . Velamentous cord insertion and atypical variable decelerations with no accelerations . Int J Gynaecol Obstet . 2005;90:26–30
  8. Pent D . Vasa previa . Trans Pac Coast Obstet Gynecol Soc . 1979;46:50–54
  9. Fung TY , Lau TK . Poor perinatal outcome associated with vasa previa: is it preventable? A report of three cases and review of the literature . Ultrasound Obstet Gynecol . 1998;12:430–433
  10. Nomiyama M , Toyota Y , Kawano H . Antenatal diagnosis of velamentous umbilical cord insertion and vasa previa with color Doppler imaging . Ultrasound Obstet Gynecol . 1998;12:426–429
  11. Oyelese KO , Turner M , Lees C , Campbell S . Vasa previa: an avoidable obstetric tragedy . Obstet Gynecol Surv . 1999;54:138–145
  12. Catanzarite V , Maida C , Thomas W , Mendoza A , Stanco L , Piacquadio KM . Prenatal sonographic diagnosis of vasa previa: ultrasound findings and obstetric outcome in ten cases . Ultrasound Obstet Gynecol . 2001;18:109–115
  13. Oyelese Y , Catanzarite V , Prefumo F , et al.   Vasa previa: the impact of prenatal diagnosis on outcomes . Obstet Gynecol . 2004;103:937–942
  14. Sepulveda W , Rojas I , Robert JA , Schnapp C , Alcalde JL . Prenatal detection of velamentous insertion of the umbilical cord: a prospective color Doppler ultrasound study . Ultrasound Obstet Gynecol . 2003;21:564–569
  15. Schachter M , Tovbin Y , Arieli S , Friedler S , Ron-El R , Sherman D . In vitro fertilization is a risk factor for vasa previa . Fertil Steril . 2002;78:642–643
  16. Francois K , Mayer S , Harris C , Perlow JH . Association of vasa previa at delivery with a history of second-trimester placenta previa . J Reprod Med . 2003;48:771–774
  17. Lee W , Lee VL , Kirk JS , Sloan CT , Smith RS , Comstock CH . Vasa previa: prenatal diagnosis, natural evolution, and clinical outcome . Obstet Gynecol . 2000;95:572–576
  18. Pretorius DH , Chau C , Poeltler DM , Mendoza A , Catanzarite VA , Hollenbach KA . Placental cord insertion visualization with prenatal ultrasonography . J Ultrasound Med . 1996;15:585–593
  19. Hasegawa J , Matsuoka R , Ichizuka K , Fujikawa H , Sekizawa A , Okai T . Umbilical cord insertion to the lower uterine segment is risk factor for vasa previa . Fetal Diagn Ther . 2007;22:358–360
  20. Oyelese Y . Placenta previa and vasa previa: time to leave the Dark Ages . Ultrasound Obstet Gynecol . 2001;18:96–99
  21. Hasegawa J, Matsuoka R, Ichizuka K, Otsuki K, Sekizawa A, Farina A, et al. Cord insertion into the lower third of the uterus in the first trimester is associated with placental and umbilical cord abnormalities . Ultrasound Obstet Gynecol . 2006;28:183–186
  22. Degani S , Lewinsky RM , Berger H , Spiegel D . Sonographic estimation of umbilical coiling index and correlation with Doppler flow characteristics . Obstet Gynecol . 1995;86:990–993
  23. de Laat MW , Franx A , Bots ML , Visser GH , Nikkels PG . Umbilical coiling index in normal and complicated pregnancies . Obstet Gynecol . 2006;107:1049–1055
  24. Predanic M , Perni SC , Chasen ST , Baergen RN , Chervenak FA . Ultrasound evaluation of abnormal umbilical cord coiling in second trimester of gestation in association with adverse pregnancy outcome . Am J Obstet Gynecol . 2005;193:387–394
  25. Ezimokhai M , Rizk DE , Thomas L . Maternal risk factors for abnormal vascular coiling of the umbilical cord . Am J Perinatol . 2000;17:441–445
  26. Rana J , Ebert GA , Kappy KA . Adverse perinatal outcome in patients with an abnormal umbilical coiling index . Obstet Gynecol . 1995;85:573–577
  27. Strong TH , Jarles DL , Vega JS , Feldman DB . The umbilical coiling index . Am J Obstet Gynecol . 1994;170:29–32
  28. Ercal T , Lacin S , Altunyurt S , Saygili U , Cinar O , Mumcu A . Umbilical coiling index: is it a marker for the foetus at risk? . Br J Clin Pract . 1996;50:254–256
  29. Strong TH , Elliott JP , Radin TG . Non-coiled umbilical blood vessels: a new marker for the fetus at risk . Obstet Gynecol . 1993;81:409–411
  30. Predanic M , Perni SC , Chervenak FA . Antenatal umbilical coiling index and Doppler flow characteristics . Ultrasound Obstet Gynecol . 2006;28:699–703
  31. Nakai Y , Imanaka M , Nishio J , Ogita S . Umbilical venous pulsation associated with hypercoiled cord in growth-retarded fetuses . Gynecol Obstet Invest . 1997;43:64–67
  32. Nakai Y , Imanaka M , Nishio J , Ogita S . Umbilical venous pulsation and regional circulatory disturbance . Ultrasound Med Biol . 1997;23:1165–1169
  33. Hasegawa J . Studies for early identification of umbilical cord abnormalities and for managements of high risk pregnancies with them . Acta Obstet Gynaecol Jpn . 2008;60:1723–1734
  34. Skulstad SM , Rasmussen S , Iversen OE , Kiserud T . The development of high venous velocity at the fetal umbilical ring during gestational weeks 11-19 . BJOG . 2001;108:248–253
  35. Skulstad SM , Rasmussen S , Seglem S , Svanaes RH , Aareskjold HM , Kiserud T . The effect of umbilical venous constriction on placental development, cord length and perinatal outcome . Early Hum Dev . 2005;81:325–331
  36. Skulstad SM , Kiserud T , Rasmussen S . Degree of fetal umbilical venous constriction at the abdominal wall in a low-risk population at 20-40 weeks of gestation . Prenat Diagn . 2002;22:1022–1027
  37. Sheiner E , Abramowicz JS , Levy A , Silberstein T , Mazor M , Hershkovitz R . Nuchal cord is not associated with adverse perinatal outcome . Arch Gynecol Obstet . 2006;274:81–83
  38. Ogueh O, Al-Tarkait A, Vallerand D, Rouah F, Morin L, Benjamin A, et al. Obstetrical factors related to nuchal cord . Acta Obstet Gynecol Scand . 2006;85:810–814
  39. Larson JD , Rayburn WF , Crosby S , Thurnau GR . Multiple nuchal cord entanglements and intrapartum complications . Am J Obstet Gynecol . 1995;173:1228–1231
  40. Jauniaux E , Ramsay B , Peellaerts C , Scholler Y . Perinatal features of pregnancies complicated by nuchal cord . Am J Perinatol . 1995;12:255–258
  41. Rhoades DA , Latza U , Mueller BA . Risk factors and outcomes associated with nuchal cord: a population-based study . J Reprod Med . 1999;44:39–45
  42. Peregrine E , O'Brien P , Jauniaux E . Ultrasound detection of nuchal cord prior to labor induction and the risk of Cesarean section . Ultrasound Obstet Gynecol . 2005;25:160–164
  43. Larson JD , Rayburn WF , Harlan VL . Nuchal cord entanglements and gestational age . Am J Perinatol . 1997;14:555–557
  44. Clapp JF , Stepanchak W , Hashimoto K , Ehrenberg H , Lopez B . The natural history of antenatal nuchal cords . Am J Obstet Gynecol . 2003;189:488–493
  45. Lal N , Deka D , Mittal S . Does the nuchal cord persist? An ultrasound and color-Doppler-based prospective study . J Obstet Gynaecol Res . 2008;34:314–317
  46. Ball RH , Parer JT . The physiologic mechanisms of variable decelerations . Am J Obstet Gynecol . 1992;166:1683–1688 discussion 8-9.
  47. Hasegawa J, Ichizuka K, Matsuoka R, Masamitsu N, Sekizawa A, Okai T. Do fetal heart rate deceleration patterns during labor differ between various umbilical cord abnormalities? J Perinat Med (In press).
  48. Krebs HB , Petres RE , Dunn LJ . Intrapartum fetal heart rate monitoring, VIII: atypical variable decelerations . Am J Obstet Gynecol . 1983;145:297–305
  49. Hasegawa J , Matsuoka R , Ichizuka K , et al.   Atypical variable deceleration in the first stage of labor is a characteristic fetal heart-rate pattern for velamentous cord insertion and hypercoiled cord . J Obstet Gynaecol Res . 2009;35:35–39
  50. Lee CY , Di Loreto PC , O'Lane JM . A study of fetal heart rate acceleration patterns . Obstet Gynecol . 1975;45:142–146

PII: S1028-4559(09)60031-0

doi: 10.1016/S1028-4559(09)60031-0

Taiwanese Journal of Obstetrics and Gynecology
Volume 48, Issue 1 , Pages 23-27 , March 2009

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