Jauniaux, E; Ebbing, C; Oyelese, Y; Maymon, R; Prefumo, F; Bhide, A
(2024)
European association of perinatal medicine (EAPM) position statement: Screening, diagnosis and management of congenital anomalies of the umbilical cord.
Eur J Obstet Gynecol Reprod Biol, 298.
pp. 61-65.
ISSN 1872-7654
https://doi.org/10.1016/j.ejogrb.2024.04.044
SGUL Authors: Bhide, Amarnath
Abstract
Congenital anomalies of the umbilical cord are associated with an increased risk of pregnancy and perinatal complications. Some anomalies of the cord have a higher prevalence than other fetal structural anomalies. The most common anomalies are the absence of an umbilical artery and velamentous insertion of the cord (with or without vasa previa). These anomalies, even when not associated with fetal structural defects, increase the risk of adverse perinatal outcome including, fetal growth restriction and stillbirth. In the absence of prenatal diagnosis, vasa previa is associated with the highest perinatal morbidity and mortality of all congenital anomalies of the umbilical cord. Most cases can be detected by ultrasound from the beginning of the second trimester and should be included in the routine mid-pregnancy ultrasound examination. Documentation should include cord insertion site, number of vessels in the cord, and if other pathologies have been detected. Pregnancies at increased risk of velamentous cord insertion should be screened for vasa previa using transvaginal ultrasound and colour Doppler imaging. If a velamentous cord insertion or isolated single umbilical artery is detected, individualised follow-up during pregnancy and tailored obstetric management are indicated.
Item Type: |
Article
|
Additional Information: |
© 2024 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
Keywords: |
Congenital anomalies, Fetal anomalies, Perinatal complications, Screening, Ultrasound imaging, Umbilical cord, Humans, Female, Umbilical Cord, Pregnancy, Ultrasonography, Prenatal, Vasa Previa, Umbilical Arteries, Europe, Umbilical Arteries, Umbilical Cord, Humans, Ultrasonography, Prenatal, Pregnancy, Europe, Female, Vasa Previa, Umbilical cord, Congenital anomalies, Fetal anomalies, Ultrasound imaging, Screening, Perinatal complications, 1114 Paediatrics and Reproductive Medicine, Obstetrics & Reproductive Medicine |
SGUL Research Institute / Research Centre: |
TACRI |
Journal or Publication Title: |
Eur J Obstet Gynecol Reprod Biol |
ISSN: |
1872-7654 |
Language: |
eng |
Dates: |
Date | Event |
---|
10 May 2024 | Published | 30 April 2024 | Published Online | 29 April 2024 | Accepted |
|
Publisher License: |
Creative Commons: Attribution 4.0 |
PubMed ID: |
38728843 |
Web of Science ID: |
WOS:001240962200001 |
![](http://static.pubmed.gov/portal/portal3rc.fcgi/2745237/img/27842) |
Go to PubMed abstract |
URI: |
https://openaccess.sgul.ac.uk/id/eprint/116699 |
Publisher's version: |
https://doi.org/10.1016/j.ejogrb.2024.04.044 |
Statistics
Item downloaded times since 22 Jul 2024.
Actions (login required)
![Edit Item](/style/images/action_view.png) |
Edit Item |