I realize this is an old thread but I have just recently received a copy of my medical records and I was looking on MDC for any mention of this "condition".
I just wonder if you went through any trauma during the pregnancy, because I did and I wondered if there is a connection between sucenturiate placenta and trauma?
This was my first birth at home. Also my first pregnancy to NOT have an Ultrasound. Pregnancy and birth were amazing and totally uncomplicated. We found out while examining the placenta that it was a VIC. I had never heard of it before. Actually I knew it was unusual but didn't know what it was until I posted a picture of it on my AP board. A Doula friend enlightened me.
I feel VERY lucky and blessed that my son is alive and healthy and well.
We were surprised that he was 8 days early and about 1.5 lbs less than my other two children. So maybe this is the explanation for that.
Again, I am SOO glad I listened to my heart and had midwife care and a homebirth. At the hospital I might have had my membranes ruptured, or been asked to have a c-section because of this issue. When clearly we are one of the cases where nothing special was needed.
Homeschooling mama to 3 Italian babies. Due with #4 on Sept. 28! Planning a rockin' Homebirth.
I think waters should never be purposely broken at births. I disagree with that practice and one of the reasons for this is we never know when someone could have a VIC and membrane rupture could cause a complication.
I am glad you didn't have any complications from your VIC. If he is a little smaller because of it, nursing will fatten him right up.
It is great to hear stories of births with complications that are handled in a natural and normal way!
Congratulations, again Jaime!
Does anyone know WHY this happens in some pg's? And if you have it one pg can it happen another time too?
just curious. Thanks for bumping this thread
I may be off on some of that, since this pregnancy I have placenta previa and not VCI or VP, but from my research that is what I have gathered.
Stay at home mom to three little boys born 6-06, 12-08, and 4-11.
Anyway, I now have a copy of my pathology report that lists VP, VCI, circumvallate placenta, infarctions and a true knot and I seriously get sick to my stomach thinking of all the what-ifs. My DD is so very dear to me. Luckily I'm so very happy right now that I just haven't made the time to have any kind of PTSD over this, because I truly could let it get to me.
Anyway, sorry to ramble, but the moral of the story is: If you get pg via IVF realize that your risks are 10-fold for VP! Still unlikely (about 1 in 300) but if you have a low-lying placenta PLUS it was an IVF pg make SURE SURE SURE you get absolute confirmation via vaginal color doppler by a COMPETENT person that you do not have VP.
We had Vasa Previa too. I was undiagnosed and I woke up to heavy bleeding one morning (at 36 weeks). We called an ambulance and at the hospital a placental abruption was suspected. During the c-section, they discovered VCI and a succenturiate lobe--and there was no blood in the cord. They got my daughter out just in time. A small fetal vessel had torn and she lost almost half her blood. She had a terrifying NICU stay, but is a thriving 21 month old today with only some very minor developmental delays.
I had none of the risk factors for VP except a low-lying placenta (detected during my 20 week u/s).
I have a copy of my hospital records. That time was such a blur and I needed some answers. I also spoke to the OB who performed my surgery. But I completely understand not wanting to dwell on it. The what-if game is horrifying.
Vancouver Mommy, I'm glad everything turned out okay (relatively speaking, of course- not emotionally, I know). I'm very sorry about your birth experience.
I had identical twins, unassisted at home, double footling breech each (I will post their birth story or you can read it here nearly 2 years ago.
The first born, Faith, had a perfect cord insertion, dead center of her placenta and everything. The second, smaller twin, Crismas, had a velamentous insertion. Based on their positions as they were coming out,it would be my educated guess thier breech presentation was directly related to preventing vasa previa.
here is a pic
Crissie has some issues. She has narrow drainage vessels in her head (gives her a chance to develop hydrocephalus - water on the brain) and her heart. She has not required any type of surgery for these conditions and seems to be outgrowing them. She gets hypoglycemia (low blood sugar) the timing varies depending on what she eats. She was born at 35 weeks weighing in at a whopping 3 pounds 10 ounces (Faith was 5 pounds 5 oz). She was also very short, basically the size of a 32 weeker.
There is another type of insertion, too. A Marginal Cord Insertion where the cord is in the placenta, but it is at the edge of the placenta. This is pretty much a normal finding as most cords don't seem to be found in the exact center (according to my research).
The velamentous insertion in twins seems to be directly related to Twin to Twin Transfusion Syndrome (TTTS). It isn't the only cause of it, but tends to be quite common in the condition. It also tends to be only seen in identical twins, monochorionic diamniotic membranes. In case you are not familiar with those words, there are actually 2 membranes covering the baby and holding the water. the amnion is the innermost membrane and the chorion is the outer most membrane. mono means 1 and di means 2. it means each baby has their own water bag with the outer layer covering both.
In my research, I found that velamentous cord insertion statistics state 1% of singleton and 8% of multiples. It seems to develop between 6 and 8 weeks, around the same time as heart and spinal fluid vessels do.
It is a scary situation to come across. Trust me, after I saw her cord I had to google it right away. I also looked in an old William's Obstetrics Text from 1910 and found information on it there. As I was readdng the different things that can be caused, my eyes were bugging out of my head.
I was so thankful, vindicated and empowered that I chose to have them (though undiagnosed) safey at home. The alternatives scare me more than a funky cord insertion. I *could* say it makes a great case for going UC, but I truly say it simply makes a great case for minimizing intervention in and after the birth of a child.
I would say my own story makes a terrible case for going UC - my DD would most likely have died.
I have read many stories from moms, similar to yours, IVF not necessarily similar, that the mom had to do just what you did and push for tests and such which ended up saving the baby's life.
Great for you and your little one that you went with your gut and pushed them all until you were sure your little one would be safe.
It has got to rank up there as one of the most preventable causes of death in newborns. From the studies I've found it can be diagnosed 100% of the time if the ultrasound tech/doc will just look for it. As JavaFinch's story illustrates - too many professionals just don't know what they're looking at. It is all in education.
I would give just about anything to have known ahead of time the words velamentous or vasa previa. I had a low lying placenta but it cleared up and I was given the go ahead for a vaginal delivery. If I had know what to ask them to look for I would have. It is a shame that mom's have to educate themselves on these types of issues.
If you have any risk factors do just like JavaFinch - insist on knowing. As the vasa previa foundation so aptly says "it only takes a minute to diagnose life."
If your doc doesn't know what to look for send them to vasaprevia.com. The Foundation has a quick training slide show that will educate docs/techs what to look for on an ultrasound.
Congrats to those whose children survived. They are your miracle babies and hug them tight!
One of my twins (they are identical but were dichorionic/diamniotic) had valementous insertion. Both of the boys amniotic sacs were very, very thick which I think really helped prevent a problem with this. My 1st twin was born in his sac and the mw cut it open after his birth and my 2nd twin's (who had vci) sac did not break on it's own. His head was out but his shoulders were not coming out (we think his hand was up on his shoulder) so she cut his bag (it was so thick she actually had to use scissors) and then he was born. I am so thankful that she did not cut through anything. I had no idea this was such a thing and my mw had never seen it before either. My mw actually ended up having a mom a few weeks after me have it also and she also had a great home birth with no problems at all.
Also, I have plenty of u/s's throughout my pregnancy and they never caught it.
Here is a pic of it, it is pretty cool looking!
What I don't understand is how a c-section can save a baby that has velamentous insertion of cord with vesa previa? When they cut you, don't they have to break the membranes to get to the baby? so, doesn't the baby bleed out anyway? I'm just confused because when your water breaks it seems like those veins that were streaming across the membranes of the placenta cause the babe to bleed out, yet when they cut you open to get the baby out of you won't the membranes be ruptured or cut anyway? Or do they clamp the cord or something before?
Just really confused on how it will all work. I go for my 21 week ultrasound next Thursday where they will use a color doppler to see if it definitely is vesa previa and/or the membranes are streaming across the placenta or not. They will also be able to see how the organs are doing, heartbeat, blood flow from the cord to the baby, etc (I think).
When they looked at her at 13 weeks, they noticed a bulge in my placenta (like a cyst on it), then at my 17 week US they saw that the cord was inserted right next to that "bulge" and saw it was velamentous insertion. I of course googled right away and the one thing that stuck out to me was scheduled C - section
I had a Bradley Birth with my daughter, Sylvia. Simply amazing. My midwife was awesome, we breastfed for an hour she was alert and I just remember looking into her eyes and feeling so blessed. As my husband was leaning over my shoulder, he said WOW! in complete amazement at this miracle we just witnessed, and she completely turned her head to look at him as if to say, Oh that's what you look like! Just so memorable and such a desirable birth to do all over again.
Since the diagnoses, I've been dwelling, pondering and sobbing about the possibilty of a scheduled C-section. I just need to hear more about how the c-section went for anyone that knew ahead of time and planned it and how it went. Were you able to room in with baby? Were you able to breastfeed immediately? How did you feel after having so many drugs in you? I'm just really curious/concerned and want to know what to expect. Do all babies with VIC have complications that require NICU?
Thanks for tips moms, I'm really blessed by all of your champion stories.
I am not sure if there are situations where a doctor would need to cut through the placenta, but my placenta was posterior, so there was nothing there on the front of it where they cut in, so no vessels were cut. The vessels were around the cervix, not the front of the uterus. Even if they do have to cut through the placenta (I'm unsure if that is something they do), that would be seconds to clamp the cord, so not very much bleeding would occur. Even so, they would take some blood from the cord/placenta to give to the baby if her levels are low. MUCH better than bleeding happening when the mom is 30 minutes away from incision.
I tried to get pregnant for a very long time for DD, so that may have clouded my experience of her birth, but here is my experience. I at first wanted a natural birth, of course. I wanted to do delayed cord clamping, I didn't want them taking my baby away to the warmer for a long time - all the stuff most moms on this site would want I was holding out hope right up to the day they sent me up to the hospital when I was finally diagnosed at 35 weeks that I'd get the 'all clear' for a vaginal birth. But no, c-section it was.
I LOVE the hospital I delivered at. I loved my doctor. Except for one nurse (lol), I loved all the nurses. Even though I wouldn't have chose the c-section and I was scared, it went great. DD was 35 weeks - I had 2 steroid shots prior to her birth and she came right back to me in the recovery room (before they had even put me back in my room - within about 30 minutes). I held and nursed her right away. She nursed GREAT - I had absolutely zero nursing problems with her. She roomed in 100% of the time I was there. I had no problems with the c-section and even spent my first day home from the hospital cleaning my house (it had gotten out of control from my bedrest and week in the hospital) - and I stopped taking my painkillers on Day 3 while still in the hospital. My milk came in on Day 3 - I did request a pump and pumped to try to get it to come in because I was paranoid about that (I even ordered 8 oz of donor breast milk to be prepared in case of low blood sugar, which never happened, and I ended up not needing it).
I look back on the time with much , just like my son's birth (vaginal) - they were different experiences, and while I wouldn't have WISHED for DD's issues, I felt so lucky to have it all turn out the way it did. Also, DD had a true knot and some other issues with her placenta. I just had just a relief to just get her OUT.
I was worried about her immunity being lower due to not being in the womb the last month. Not saying it's not better to be in the womb, but DD has been very healthy. She just got her first snotty nose (no other symptoms) last week and her first birthday is tomorrow. I got a cold before Christmas, and she never got it.
Good luck - I hope you get your vaginal birth, but if not, the important thing is all the comes AFTER birth, anyway.
I had my DD at home in water birth with midwife support, at 37, knot in her cord but no concerns. At 41 went for amnio on my 2nd child, they discovered VCI. Midwife said it was no concern, no biggie, they don't usually see it until after the birth - far too casual attitude for me so switched back to my family doctor for care. The local high risk clinic said they wouldn't see me as it wasn't high risk. I KNEW things weren't quite right, had my bags packed the week before i went into labour. My DS was born through precipitous birth following rupture of membranes at 32 weeks. His HB went up and down throughout the birth - an OB came in eventually and discovered he was Frank Breech. Born vaginally, then I had a retained placenta, so I also got to experience the hand in the uterus manual placenta retreival.
My son was sent to NICU after developing NEC (preemie infection of intestines) but survived that too.
It's been a frightful year - he's now 14 months. A very happy wonderful little boy who has developmental delays. We think possibly cerebral palsy although the neurologist said it isn't. He sits now (started at about 11 mths), and can roll, and has begun propping up on his hands when on tummy. Can kick his legs and LOVES to do so when on back, but is quite spastic at times and definitely has motor delays below waist for sure, as well as verbal.
I think the VCI and drop in heartrate throughout the birth probably are associated with his delays.
He's had one health concern after another, and we haven't considered any legal action - but I am wondering if his delays could have been avoided if that high risk clinic had listened to me.
I am really curious, i delivered my son at 41+1 weeks when he was delivered i was told i had a velamentous (choriamniotic membrane). My son and i went home the next day only for him to be readmitted and transferred to a children's hospital due to seizures. Does this vci have anything to do with his seizures.
I have identical twins and both shared one placenta and shared 1 amniotic sac (happens about 1% in identical twins). They also both also
were velamentous insertion of the cord which was very dangerous as they did not have the strong attachment to my placenta but hung
from veins in the side walls of my sac that then went up to my placenta. At birth the first twin had the second twins cord around his
neck which pulled my second twins umbilical cord loose from me. He was detached from me and we both were hemoraging. The
doctor had to manually pull out my placenta to stop the bleeding. He told me in his 40 years of delivering babies he had never seen
both twins with the velamentous insertion. Thank goodness I delivered the babies 2 minutes apart or the second twin and myself would
Wow, I didn't know VCI had so many sad outcomes :( I had VCI with my son. I had a very smooth, healthy pregnancy, had 2 ultrasounds but the VCI wasn't diagnosed until after birth. I was 39 weeks. I was in labor for 13 hours and my water was accidently broken when a resident checked to see how centimeters dialated I was. Toward the end of labor my OB told me he was going to have the OR prepped in case I needed a c-section because my baby was distressed. Early the next morning, I was 8 centimeters dialated, when all of a sudden my OB and a bunch of nurses ran into the room and started wheeling me to the OR saying I needed to have an emergency c-section. Everything was a blurr and all I remember is they said something about his heart rate being way too low and he wasn't getting any oxygen. I didn't ask questions though. I was 17 and scared to death. Everything happened in matter of minutes and then my son was born. He was 5lbs. 12oz. and perfectly healthy. Later, my OB told me about my VCI. He said is was very rare and that I was his 2nd patient to have it in his 30 years of practice. After reading so many horrible outcomes of VCI, I thank the Lord that my son is alive and healthy. He will be 2 years old March 2nd.
I do have one question though. What are the chances of VCI recurring in the next pregnancy?
well I am gob smacked. Not once in my 11 years of practice as a midwife have i had a velamentous insertion cause a problem. I've heard of vasa praevia, but never seen it aamong the woman i have cared for. I have had one situation in which a baby had fetal distress and a crash lscs, after which it ws discovered that baby had free floating vessels within the amniotic fluid, sort loops of blood vessles. That was scarey. The examples of velamantous insertion i have observed, and there have been plenty, have been only picked up after the birth of the placenta. i usually get quite excited and show any students if they are around. Mind you, i don't rupture membranes routinely, and certainly not until i've had a good feel to see it there are any pulsating vessels present!! My deepest sympanies to the posters who have lost babies. I have certainly learnt something