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The veloso insertion is a problem in the connection of the umbilical cord to the placenta, reducing the nourishment of the baby during the pregnancy, being able to cause sequels like restriction of growth in the baby, being necessary more vigilance through ultrasonographies to follow its development.
In this case, the umbilical cord is implanted in the membranes and the umbilical vessels travel a variable length course before they are inserted into the placental disc, as is usually the case. The consequence will be decreased circulation to the fetus.
The veloso insertion has clinical significance: it is more related to maternal diabetes, smoking, advanced maternal age, congenital malformations, restriction of fetal growth and stillbirth.
Vestibular insertion may be considered an obstetric emergency if the blood vessels are twisted or the membranes rupture, causing major bleeding, especially at the end of gestation. In these more severe cases, a cesarean should be performed as soon as possible, as the baby is at risk of life.
Diagnosis of velamentous insertion
The diagnosis of the velamentous insertion is made through ultrasonography in the prenatal period, usually from the second trimester.
Adhesive insertion treatment
The treatment for velamentous insertion depends on the growth of the baby and the presence or absence of bleeding .
If there is no major bleeding, it is a sign that pregnancy has a good chance of success by cesarean. In these cases, only a more careful medical follow-up through periodic ultrasounds in the third trimester is enough to check that the baby is growing and feeding properly and satisfactorily.
However, in cases of pregnancy of twins and placenta previa, there is a greater possibility of complications. Severe bleeding may occur especially at the end of gestation due to rupture of the membranes, and immediate withdrawal of the baby is indicated through an emergency cesarean .
