. . "O43.1" . . "0.1"^^ . . . . "16059701"^^ . . . "Blood vessel compression, decrease in blood supply to the fetus, impaired growth and development of the fetus."@en . . . . . . "O43.1"@en . . . . ""@en . . "Unter einer Insertio velamentosa (von lat.: insertio, insertionis (f): Einsetzen, Ansatz und lat.: velamentum, velamenti (n): H\u00FClle) versteht man in der Geburtshilfe eine Ansatzanomalie der Nabelschnur, bei der die Gef\u00E4\u00DFe frei \u00FCber die Eih\u00E4ute verlaufen. Sie steht im Gegensatz zu den physiologischen, unmittelbar am Mutterkuchen ansetzenden Nabelschnurinsertionen."@de . . . "Velamentous cord insertion"@en . "Insertio velamentosa"@de . . "762.6"^^ . . "\u0625\u062F\u0631\u0627\u062C \u0627\u0644\u062D\u0628\u0644 \u0627\u0644\u062E\u064A\u0637\u064A"@ar . . . . "\u0625\u062F\u0631\u0627\u062C \u0627\u0644\u062D\u0628\u0644 \u0627\u0644\u062E\u064A\u0637\u064A (\u0628\u0627\u0644\u0625\u0646\u062C\u0644\u064A\u0632\u064A\u0629: Velamentous cord insertion)\u200F \u0647\u0648 \u0625\u062D\u062F\u0649 \u0645\u0636\u0627\u0639\u0641\u0627\u062A \u0627\u0644\u062D\u0645\u0644 \u0627\u0644\u062A\u064A \u062A\u062A\u0645\u064A\u0632 \u0628\u062F\u062E\u0648\u0644 \u0627\u0644\u062D\u0628\u0644 \u0627\u0644\u0633\u0631\u064A \u0641\u064A \u063A\u0634\u0627\u0621 \u0627\u0644\u062C\u0646\u064A\u0646. \u064A\u0645\u062B\u0644 \u0625\u062D\u062F\u0649 \u0627\u0644\u0645\u0633\u0628\u0628\u0627\u062A \u0627\u0644\u0631\u0626\u064A\u0633\u064A\u0629 \u0644\u0644\u0646\u0632\u064A\u0641 \u0642\u0628\u0644 \u0627\u0644\u0648\u0644\u0627\u062F\u0629 \u0627\u0644\u0630\u064A \u064A\u0624\u062F\u064A \u0625\u0644\u0649 \u0641\u0642\u062F\u0627\u0646 \u062F\u0645 \u0627\u0644\u062C\u0646\u064A\u0646 \u0648\u0627\u0631\u062A\u0641\u0627\u0639 \u062E\u0637\u0631 \u0627\u0644\u0648\u0641\u0627\u0629 \u0641\u064A \u0641\u062A\u0631\u0629 \u0627\u0644\u0648\u0644\u0627\u062F\u0629. \u062A\u062A\u0633\u0645 \u062D\u0627\u0644\u0627\u062A \u0627\u0644\u062D\u0645\u0644 \u0627\u0644\u0637\u0628\u064A\u0639\u064A\u0629 \u0628\u062F\u062E\u0648\u0644 \u0627\u0644\u062D\u0628\u0644 \u0627\u0644\u0633\u0631\u064A \u0641\u064A \u0645\u0646\u062A\u0635\u0641 \u0627\u0644\u0643\u062A\u0644\u0629 \u0627\u0644\u0645\u0634\u064A\u0645\u064A\u0629 \u0648\u0625\u062D\u0627\u0637\u062A\u0647 \u0628\u0627\u0644\u0643\u0627\u0645\u0644 \u0628\u0627\u0644\u0643\u064A\u0633 \u0627\u0644\u0633\u0644\u0648\u064A. \u064A\u0634\u0643\u0644 \u0647\u0644\u0627\u0645 \u0648\u0627\u0631\u062A\u0646 \u0637\u0628\u0642\u0629 \u062D\u0645\u0627\u064A\u0629 \u0637\u0628\u064A\u0639\u064A\u0629 \u062D\u0648\u0644 \u0627\u0644\u0623\u0648\u0639\u064A\u0629\u060C \u0625\u0630 \u062A\u0645\u0646\u0639 \u0627\u0644\u062A\u0645\u0632\u0642 \u062E\u0644\u0627\u0644 \u0627\u0644\u062D\u0645\u0644 \u0648\u0627\u0644\u0648\u0644\u0627\u062F\u0629. \u0641\u064A \u0625\u062F\u0631\u0627\u062C \u0627\u0644\u062D\u0628\u0644 \u0627\u0644\u062E\u064A\u0637\u064A\u060C \u062A\u062F\u062E\u0644 \u0623\u0648\u0639\u064A\u0629 \u0627\u0644\u062D\u0628\u0644 \u0627\u0644\u0633\u0631\u064A \u0641\u064A \u0627\u0644\u063A\u0634\u0627\u0621 \u0627\u0644\u0645\u0634\u064A\u0645\u064A \u0627\u0644\u0633\u0644\u0648\u064A \u0628\u0634\u0643\u0644 \u062E\u0627\u0637\u0626\u060C \u062A\u0645\u062A\u062F \u0627\u0644\u0623\u0648\u0639\u064A\u0629 \u0628\u0627\u0644\u062A\u0627\u0644\u064A \u0628\u064A\u0646 \u0627\u0644\u0633\u0644\u0649 \u0648\u0627\u0644\u0645\u0634\u064A\u0645\u0627\u0621 \u0645\u062A\u062C\u0647\u0629 \u0646\u062D\u0648 \u0627\u0644\u0645\u0634\u064A\u0645\u0629. \u0639\u0646\u062F \u063A\u064A\u0627\u0628 \u0647\u0644\u0627\u0645 \u0648\u0627\u0631\u062A\u0646 \u0627\u0644\u0630\u064A \u064A\u062D\u0645\u064A \u0627\u0644\u0623\u0648\u0639\u064A\u0629\u060C \u062A\u0635\u0628\u062D \u0627\u0644\u0623\u0648\u0639\u064A\u0629 \u0627\u0644\u0645\u0643\u0634\u0648\u0641\u0629 \u0639\u0631\u0636\u0629 \u0644\u0644\u0636\u063A\u0637 \u0648\u0627\u0644\u062A\u0645\u0632\u0642."@ar . . . . . . . . . "Normal umbilical cord insertion and velamentous umbilical cord insertion in pregnancy, with and without vasa previa."@en . . "34591"^^ . . "78981"^^ . . . "med"@en . "B\u0142oniasty przyczep p\u0119powiny \u2013 patologia polegaj\u0105ca na przyczepie sznura p\u0119powinowego poza obszarem \u0142o\u017Cyska, na powierzchni b\u0142on p\u0142odowych. W przypadku p\u0119kni\u0119cia b\u0142on p\u0142odowych mo\u017Ce nast\u0105pi\u0107 przerwanie naczy\u0144 p\u0119powinowych, a w konsekwencji wykrwawienie i cz\u0119sto \u015Bmier\u0107 p\u0142odu. Objawami s\u0105 deceleracje u p\u0142odu i krwawienie z dr\u00F3g rodnych matki. W przypadku wykrycia tej patologii wa\u017Cne jest natychmiastowe zako\u0144czenie ci\u0105\u017Cy. ."@pl . . . . . . "med"@en . "Velamentous cord insertion is a complication of pregnancy where the umbilical cord is inserted in the fetal membranes. It is a major cause of antepartum hemorrhage that leads to loss of fetal blood and associated with high perinatal mortality. In normal pregnancies, the umbilical cord inserts into the middle of the placental mass and is completely encased by the amniotic sac. The vessels are hence normally protected by Wharton's jelly, which prevents rupture during pregnancy and labor. In velamentous cord insertion, the vessels of the umbilical cord are improperly inserted in the chorioamniotic membrane, and hence the vessels traverse between the amnion and the chorion towards the placenta. Without Wharton's jelly protecting the vessels, the exposed vessels are susceptible to compression and rupture. The exact cause of velamentous cord insertion is unknown, although risk factors include nulliparity, the use of assisted reproductive technology, maternal obesity, and pregnancy with other placental anomalies. Velamentous cord insertion is often diagnosed using an abdominal ultrasound. This is most successful in the second trimester, however Color Doppler ultrasound or transvaginal ultrasound can be used in difficult cases, such as when the placenta is located posteriorly. If the woman is diagnosed with velamentous cord insertion, the pregnancy is closely monitored, especially as velamentous cord insertion is a strong risk factor for vasa previa, where the exposed vessels cross the cervix and are at high risk of rupture during membrane rupture in early labor. Management strategies for velamentous cord insertion also involve determining the presence of vasa previa. Velamentous cord insertion impacts fetal development during pregnancy by impairing the development of the placenta and modifying the efficiency of placental function. This can manifest in a range of adverse perinatal outcomes, such as fetal growth restriction, placental abruption, abnormal fetal heart rate patterns, and fetal death. Velamentous cord insertion affects between 0.1%-1.8% of pregnancies, though its incidence increases ten-fold in multiple pregnancies."@en . . . . . . "Multiple gestation, placental anomalies previous pregnancy with abnormal cord insertion"@en . . "3276"@en . . . . . . "Velamentous cord insertion"@en . . "3276"^^ . . . . . "\u0625\u062F\u0631\u0627\u062C \u0627\u0644\u062D\u0628\u0644 \u0627\u0644\u062E\u064A\u0637\u064A (\u0628\u0627\u0644\u0625\u0646\u062C\u0644\u064A\u0632\u064A\u0629: Velamentous cord insertion)\u200F \u0647\u0648 \u0625\u062D\u062F\u0649 \u0645\u0636\u0627\u0639\u0641\u0627\u062A \u0627\u0644\u062D\u0645\u0644 \u0627\u0644\u062A\u064A \u062A\u062A\u0645\u064A\u0632 \u0628\u062F\u062E\u0648\u0644 \u0627\u0644\u062D\u0628\u0644 \u0627\u0644\u0633\u0631\u064A \u0641\u064A \u063A\u0634\u0627\u0621 \u0627\u0644\u062C\u0646\u064A\u0646. \u064A\u0645\u062B\u0644 \u0625\u062D\u062F\u0649 \u0627\u0644\u0645\u0633\u0628\u0628\u0627\u062A \u0627\u0644\u0631\u0626\u064A\u0633\u064A\u0629 \u0644\u0644\u0646\u0632\u064A\u0641 \u0642\u0628\u0644 \u0627\u0644\u0648\u0644\u0627\u062F\u0629 \u0627\u0644\u0630\u064A \u064A\u0624\u062F\u064A \u0625\u0644\u0649 \u0641\u0642\u062F\u0627\u0646 \u062F\u0645 \u0627\u0644\u062C\u0646\u064A\u0646 \u0648\u0627\u0631\u062A\u0641\u0627\u0639 \u062E\u0637\u0631 \u0627\u0644\u0648\u0641\u0627\u0629 \u0641\u064A \u0641\u062A\u0631\u0629 \u0627\u0644\u0648\u0644\u0627\u062F\u0629. \u062A\u062A\u0633\u0645 \u062D\u0627\u0644\u0627\u062A \u0627\u0644\u062D\u0645\u0644 \u0627\u0644\u0637\u0628\u064A\u0639\u064A\u0629 \u0628\u062F\u062E\u0648\u0644 \u0627\u0644\u062D\u0628\u0644 \u0627\u0644\u0633\u0631\u064A \u0641\u064A \u0645\u0646\u062A\u0635\u0641 \u0627\u0644\u0643\u062A\u0644\u0629 \u0627\u0644\u0645\u0634\u064A\u0645\u064A\u0629 \u0648\u0625\u062D\u0627\u0637\u062A\u0647 \u0628\u0627\u0644\u0643\u0627\u0645\u0644 \u0628\u0627\u0644\u0643\u064A\u0633 \u0627\u0644\u0633\u0644\u0648\u064A. \u064A\u0634\u0643\u0644 \u0647\u0644\u0627\u0645 \u0648\u0627\u0631\u062A\u0646 \u0637\u0628\u0642\u0629 \u062D\u0645\u0627\u064A\u0629 \u0637\u0628\u064A\u0639\u064A\u0629 \u062D\u0648\u0644 \u0627\u0644\u0623\u0648\u0639\u064A\u0629\u060C \u0625\u0630 \u062A\u0645\u0646\u0639 \u0627\u0644\u062A\u0645\u0632\u0642 \u062E\u0644\u0627\u0644 \u0627\u0644\u062D\u0645\u0644 \u0648\u0627\u0644\u0648\u0644\u0627\u062F\u0629. \u0641\u064A \u0625\u062F\u0631\u0627\u062C \u0627\u0644\u062D\u0628\u0644 \u0627\u0644\u062E\u064A\u0637\u064A\u060C \u062A\u062F\u062E\u0644 \u0623\u0648\u0639\u064A\u0629 \u0627\u0644\u062D\u0628\u0644 \u0627\u0644\u0633\u0631\u064A \u0641\u064A \u0627\u0644\u063A\u0634\u0627\u0621 \u0627\u0644\u0645\u0634\u064A\u0645\u064A \u0627\u0644\u0633\u0644\u0648\u064A \u0628\u0634\u0643\u0644 \u062E\u0627\u0637\u0626\u060C \u062A\u0645\u062A\u062F \u0627\u0644\u0623\u0648\u0639\u064A\u0629 \u0628\u0627\u0644\u062A\u0627\u0644\u064A \u0628\u064A\u0646 \u0627\u0644\u0633\u0644\u0649 \u0648\u0627\u0644\u0645\u0634\u064A\u0645\u0627\u0621 \u0645\u062A\u062C\u0647\u0629 \u0646\u062D\u0648 \u0627\u0644\u0645\u0634\u064A\u0645\u0629. \u0639\u0646\u062F \u063A\u064A\u0627\u0628 \u0647\u0644\u0627\u0645 \u0648\u0627\u0631\u062A\u0646 \u0627\u0644\u0630\u064A \u064A\u062D\u0645\u064A \u0627\u0644\u0623\u0648\u0639\u064A\u0629\u060C \u062A\u0635\u0628\u062D \u0627\u0644\u0623\u0648\u0639\u064A\u0629 \u0627\u0644\u0645\u0643\u0634\u0648\u0641\u0629 \u0639\u0631\u0636\u0629 \u0644\u0644\u0636\u063A\u0637 \u0648\u0627\u0644\u062A\u0645\u0632\u0642. \u0645\u0627 \u064A\u0632\u0627\u0644 \u0627\u0644\u0633\u0628\u0628 \u0627\u0644\u0641\u0639\u0644\u064A \u0627\u0644\u0643\u0627\u0645\u0646 \u0648\u0631\u0627\u0621 \u0625\u062F\u0631\u0627\u062C \u0627\u0644\u062D\u0628\u0644 \u0627\u0644\u062E\u064A\u0637\u064A \u0645\u062C\u0647\u0648\u0644\u064B\u0627\u060C \u0644\u0643\u0646 \u062A\u0634\u0645\u0644 \u0639\u0648\u0627\u0645\u0644 \u0627\u0644\u062E\u0637\u0631 \u0643\u0644\u064B\u0627 \u0645\u0646 \u0639\u062F\u0645 \u0627\u0644\u0648\u0644\u0627\u062F\u0629\u060C \u0648\u0627\u0633\u062A\u062E\u062F\u0627\u0645 \u062A\u0642\u0646\u064A\u0627\u062A \u0627\u0644\u062A\u0644\u0642\u064A\u062D \u0628\u0627\u0644\u0645\u0633\u0627\u0639\u062F\u0629\u060C \u0648\u0633\u0645\u0646\u0629 \u0627\u0644\u0623\u0645\u0648\u0645\u0629 \u0648\u062D\u0627\u0644\u0627\u062A \u0627\u0644\u062D\u0645\u0644 \u0627\u0644\u0623\u062E\u0631\u0649 \u0627\u0644\u0645\u062A\u0631\u0627\u0641\u0642\u0629 \u0645\u0639 \u0634\u0630\u0648\u0630\u0627\u062A \u0645\u0634\u064A\u0645\u064A\u0629. \u063A\u0627\u0644\u0628\u064B\u0627 \u0645\u0627 \u062A\u064F\u0634\u062E\u0635 \u062D\u0627\u0644\u0627\u062A \u0625\u062F\u0631\u0627\u062C \u0627\u0644\u062D\u0628\u0644 \u0627\u0644\u062E\u064A\u0637\u064A \u0645\u0646 \u062E\u0644\u0627\u0644 \u0627\u0644\u062A\u0635\u0648\u064A\u0631 \u0628\u0627\u0644\u0623\u0645\u0648\u0627\u062C \u0641\u0648\u0642 \u0627\u0644\u0635\u0648\u062A\u064A\u0629 \u0627\u0644\u0628\u0637\u0646\u064A\u0629. \u062A\u0631\u062A\u0641\u0639 \u0646\u0633\u0628\u0629 \u0646\u062C\u0627\u062D \u0627\u0644\u062A\u0635\u0648\u064A\u0631 \u0628\u0627\u0644\u0623\u0645\u0648\u0627\u062C \u0641\u064A \u0627\u0644\u062B\u0644\u062B \u0627\u0644\u062B\u0627\u0646\u064A \u0645\u0646 \u0627\u0644\u062D\u0645\u0644\u060C \u0645\u0639 \u0630\u0644\u0643\u060C \u064A\u0645\u0643\u0646 \u0627\u0633\u062A\u062E\u062F\u0627\u0645 \u0627\u0644\u0623\u0645\u0648\u0627\u062C \u0641\u0648\u0642 \u0627\u0644\u0635\u0648\u062A\u064A\u0629 \u0627\u0644\u062F\u0648\u0628\u0644\u0631\u064A\u0629 \u0623\u0648 \u064A\u0645\u0643\u0646 \u0627\u0633\u062A\u062E\u062F\u0627\u0645 \u0627\u0644\u0645\u0648\u062C\u0627\u062A \u0641\u0648\u0642 \u0627\u0644\u0635\u0648\u062A\u064A\u0629 \u0639\u0628\u0631 \u0627\u0644\u0645\u0647\u0628\u0644 \u0641\u064A \u0627\u0644\u062D\u0627\u0644\u0627\u062A \u0627\u0644\u0635\u0639\u0628\u0629\u060C \u0645\u062B\u0644 \u0627\u0644\u062A\u0648\u0636\u0639 \u0627\u0644\u062E\u0644\u0641\u064A \u0644\u0644\u0645\u0634\u064A\u0645\u0629. \u0639\u0646\u062F \u062A\u0634\u062E\u064A\u0635 \u0627\u0644\u062D\u0627\u0645\u0644 \u0628\u062D\u0627\u0644\u0629 \u0625\u062F\u0631\u0627\u062C \u0627\u0644\u062D\u0628\u0644 \u0627\u0644\u062E\u064A\u0637\u064A\u060C \u064A\u062C\u0628 \u0645\u0631\u0627\u0642\u0628\u0629 \u0627\u0644\u062D\u0645\u0644 \u0639\u0646 \u0643\u062B\u0628\u060C \u0625\u0630 \u064A\u0645\u062B\u0644 \u0625\u062F\u0631\u0627\u062C \u0627\u0644\u062D\u0628\u0644 \u0627\u0644\u062E\u064A\u0637\u064A \u0639\u0627\u0645\u0644 \u062E\u0637\u0631 \u0647\u0627\u0645 \u0644\u0644\u0625\u0635\u0627\u0628\u0629 \u0628\u0627\u0644\u0623\u0648\u0639\u064A\u0629 \u0627\u0644\u0645\u062A\u0642\u062F\u0645\u0629\u060C \u0627\u0644\u062A\u064A \u062A\u062A\u0633\u0645 \u0628\u0639\u0628\u0648\u0631 \u0627\u0644\u0623\u0648\u0639\u064A\u0629 \u0627\u0644\u0645\u0643\u0634\u0648\u0641\u0629 \u0644\u0639\u0646\u0642 \u0627\u0644\u0631\u062D\u0645 \u0648\u062A\u0639\u0631\u0636\u0647\u0627 \u0644\u0644\u062A\u0645\u0632\u0642 \u0639\u0646\u062F \u062A\u0645\u0632\u0642 \u0627\u0644\u063A\u0634\u0627\u0621 \u0641\u064A \u0627\u0644\u0648\u0644\u0627\u062F\u0629 \u0627\u0644\u0645\u0628\u0643\u0631\u0629. \u062A\u0634\u0645\u0644 \u0627\u0633\u062A\u0631\u0627\u062A\u064A\u062C\u064A\u0627\u062A \u062A\u062F\u0628\u064A\u0631 \u0625\u062F\u0631\u0627\u062C \u0627\u0644\u062D\u0628\u0644 \u0627\u0644\u062E\u064A\u0637\u064A \u0623\u064A\u0636\u064B\u0627 \u062A\u062D\u062F\u064A\u062F \u0648\u062C\u0648\u062F \u062D\u0627\u0644\u0629 \u0627\u0644\u0623\u0648\u0639\u064A\u0629 \u0627\u0644\u0645\u062A\u0642\u062F\u0645\u0629. \u064A\u0624\u062B\u0631 \u0625\u062F\u0631\u0627\u062C \u0627\u0644\u062D\u0628\u0644 \u0627\u0644\u062E\u064A\u0637\u064A \u0639\u0644\u0649 \u062A\u0637\u0648\u0631 \u0627\u0644\u062C\u0646\u064A\u0646 \u062E\u0644\u0627\u0644 \u0627\u0644\u062D\u0645\u0644 \u0646\u062A\u064A\u062C\u0629 \u0627\u0636\u0637\u0631\u0627\u0628 \u0646\u0645\u0648 \u0627\u0644\u0645\u0634\u064A\u0645\u0629\u060C \u0625\u0644\u0649 \u062C\u0627\u0646\u0628 \u062A\u0639\u062F\u064A\u0644 \u0643\u0641\u0627\u0621\u0629 \u0627\u0644\u0648\u0638\u064A\u0641\u0629 \u0627\u0644\u0645\u0634\u064A\u0645\u064A\u0629. \u064A\u062A\u062C\u0644\u0649 \u0630\u0644\u0643 \u0641\u064A \u0645\u062C\u0645\u0648\u0639\u0629 \u0645\u0646 \u0627\u0644\u0646\u062A\u0627\u0626\u062C \u0627\u0644\u0636\u0627\u0631\u0629 \u0627\u0644\u0645\u0635\u0627\u062D\u0628\u0629 \u0644\u0641\u062A\u0631\u0629 \u0627\u0644\u0648\u0644\u0627\u062F\u0629\u060C \u0645\u062B\u0644 \u062A\u0642\u064A\u064A\u062F \u0646\u0645\u0648 \u0627\u0644\u062C\u0646\u064A\u0646\u060C \u0648\u0627\u0646\u0641\u0635\u0627\u0644 \u0627\u0644\u0645\u0634\u064A\u0645\u0629\u060C \u0648\u0627\u0644\u0623\u0646\u0645\u0627\u0637 \u0627\u0644\u0634\u0627\u0630\u0629 \u0644\u0645\u0639\u062F\u0644 \u0646\u0628\u0636\u0627\u062A \u0627\u0644\u0642\u0644\u0628 \u0648\u0645\u0648\u062A \u0627\u0644\u062C\u0646\u064A\u0646. \u064A\u0635\u064A\u0628 \u0625\u062F\u0631\u0627\u062C \u0627\u0644\u062D\u0628\u0644 \u0627\u0644\u062E\u064A\u0637\u064A \u0645\u0627 \u064A\u0642\u0627\u0631\u0628 0.1-1.8% \u0645\u0646 \u062D\u0627\u0644\u0627\u062A \u0627\u0644\u062D\u0645\u0644\u060C \u0648\u064A\u0631\u062A\u0641\u0639 \u0645\u0639\u062F\u0644 \u062D\u062F\u0648\u062B\u0647 \u0639\u0634\u0631 \u0645\u0631\u0627\u062A \u0641\u064A \u062D\u0627\u0644\u0627\u062A \u0627\u0644\u062D\u0645\u0644 \u0627\u0644\u0645\u062A\u0639\u062F\u062F."@ar . "Velamentous cord insertion"@en . "B\u0142oniasty przyczep p\u0119powiny \u2013 patologia polegaj\u0105ca na przyczepie sznura p\u0119powinowego poza obszarem \u0142o\u017Cyska, na powierzchni b\u0142on p\u0142odowych. W przypadku p\u0119kni\u0119cia b\u0142on p\u0142odowych mo\u017Ce nast\u0105pi\u0107 przerwanie naczy\u0144 p\u0119powinowych, a w konsekwencji wykrwawienie i cz\u0119sto \u015Bmier\u0107 p\u0142odu. Objawami s\u0105 deceleracje u p\u0142odu i krwawienie z dr\u00F3g rodnych matki. W przypadku wykrycia tej patologii wa\u017Cne jest natychmiastowe zako\u0144czenie ci\u0105\u017Cy. ."@pl . "Velamentous Placenta"@en . . . . . "762.6" . "B\u0142oniasty przyczep p\u0119powiny"@pl . . "Velamentous cord insertion is a complication of pregnancy where the umbilical cord is inserted in the fetal membranes. It is a major cause of antepartum hemorrhage that leads to loss of fetal blood and associated with high perinatal mortality. In normal pregnancies, the umbilical cord inserts into the middle of the placental mass and is completely encased by the amniotic sac. The vessels are hence normally protected by Wharton's jelly, which prevents rupture during pregnancy and labor. In velamentous cord insertion, the vessels of the umbilical cord are improperly inserted in the chorioamniotic membrane, and hence the vessels traverse between the amnion and the chorion towards the placenta. Without Wharton's jelly protecting the vessels, the exposed vessels are susceptible to compression a"@en . "34591" . . "La inserci\u00F3n velamentosa del cord\u00F3n es una complicaci\u00F3n del cord\u00F3n umbilical en la que \u00E9sta llega a insertarse en la placenta a trav\u00E9s de la superficie de las membranas ovulares, es decir, entre el amnios y el corion. Es una anomal\u00EDa presente en el 1% de los fetos \u00FAnicos, sin embargo, es un trastorno presente hasta en un 15% de gemelos monocori\u00F3nico y com\u00FAn en trillizos. La principal complicaci\u00F3n que puede causar una inserci\u00F3n velamentosa es que una zona de las membranas que recubren al feto y por donde transcurren los vasos umbilicales en esta patolog\u00EDa pueda estar puesta previa a la presentaci\u00F3n fetal del canal del parto, un trastorno conocido como . Puede igualmente estar asociada con bajo peso al nacer, la prematuridad, y patrones anormales del ritmo card\u00EDaco fetal, especialmente durante el parto. La inserci\u00F3n velamentosa ha sido diagnosticada por ultrasonograf\u00EDa con una sensibilidad del 67% y una especificidad del 100% en el segundo trimestre aunque el diagn\u00F3stico en el primer trimestre es tambi\u00E9n posible. La condici\u00F3n est\u00E1 asociada con una concentraci\u00F3n menor de alfa-fetoprote\u00EDna (AFP) en el plasma sangu\u00EDneo materno y una concentraci\u00F3n superior de gonadotropina cori\u00F3nica humana (hCG). Si se detecta, el crecimiento fetal puede ser controlado con la ecograf\u00EDa en el tercer trimestre. Se suele considerar la posibilidad de una ces\u00E1rea electiva. \n* Datos: Q490081 \n* Multimedia: Velamentous cord insertion / Q490081 ."@es . "Unter einer Insertio velamentosa (von lat.: insertio, insertionis (f): Einsetzen, Ansatz und lat.: velamentum, velamenti (n): H\u00FClle) versteht man in der Geburtshilfe eine Ansatzanomalie der Nabelschnur, bei der die Gef\u00E4\u00DFe frei \u00FCber die Eih\u00E4ute verlaufen. Sie steht im Gegensatz zu den physiologischen, unmittelbar am Mutterkuchen ansetzenden Nabelschnurinsertionen."@de . "1056287928"^^ . "Inserci\u00F3n velamentosa de cord\u00F3n"@es . "Abdominal ultrasound"@en . . . . "La inserci\u00F3n velamentosa del cord\u00F3n es una complicaci\u00F3n del cord\u00F3n umbilical en la que \u00E9sta llega a insertarse en la placenta a trav\u00E9s de la superficie de las membranas ovulares, es decir, entre el amnios y el corion. Es una anomal\u00EDa presente en el 1% de los fetos \u00FAnicos, sin embargo, es un trastorno presente hasta en un 15% de gemelos monocori\u00F3nico y com\u00FAn en trillizos. La principal complicaci\u00F3n que puede causar una inserci\u00F3n velamentosa es que una zona de las membranas que recubren al feto y por donde transcurren los vasos umbilicales en esta patolog\u00EDa pueda estar puesta previa a la presentaci\u00F3n fetal del canal del parto, un trastorno conocido como . Puede igualmente estar asociada con bajo peso al nacer, la prematuridad, y patrones anormales del ritmo card\u00EDaco fetal, especialmente duran"@es . .