Delicate threads: A case study on velamentous placenta and its clinical significance

Authors

  • Smriti Anand Associate Professor, Department of Obstetrics and Gynecology, PGIMS Rohtak, Haryana, India
  • Pushpa Dahiya Senior Professor and Head, Department of Obstetrics and Gynecology, PGIMS Rohtak, Haryana, India
  • Shikha Madan Associate Professor, Department of Obstetrics and Gynecology, PGIMS Rohtak, Haryana, India https://orcid.org/0000-0001-5206-6827
  • Sonia Dahiya Associate Professor, Department of Obstetrics and Gynecology, PGIMS Rohtak, Haryana, India https://orcid.org/0000-0001-5946-3219

DOI:

https://doi.org/10.3126/ajms.v15i5.62471

Keywords:

Velamentous; Placenta; Vasa previa; Cord abnormalities

Abstract

Velamentous placenta insertion is a rare and potentially serious pregnancy complication involving the abnormal attachment of the umbilical cord to the fetal membranes rather than to the placenta.This case report details the management of a 23-year-old primigravida at 38 weeks of gestation who presented to the labor room in spontaneous labor.Initial examination revealed a term-size uterus, vertex presentation, and moderate contractions,with a fetal heart rate of 144/min. Despite an unremarkable start to labor, persistent fetal heart decelerations post-amniotomy led to the discovery of velamentous insertion of the placental cord.This case discusses the challenges, decision-making process, and outcomes associated with this rare condition, ultimately resulting in an uneventful postoperative period and successful discharge on the 5th day for both mother and baby.

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Published

2024-05-01

How to Cite

Smriti Anand, Dahiya, P., Shikha Madan, & Sonia Dahiya. (2024). Delicate threads: A case study on velamentous placenta and its clinical significance. Asian Journal of Medical Sciences, 15(5), 278–280. https://doi.org/10.3126/ajms.v15i5.62471

Issue

Vol. 15 No. 5 (2024)

Section

Case Reports

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Copyright (c) 2024 Asian Journal of Medical Sciences

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