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07-16-2014 05:53 AM
vmyers I was just released yesterday afternoon from the hospital and during the visit they discovered I have VIC. It wasn't until I got home and started reading about it that I realize its much more than how lightly they talked about it. I am now high risk and will be monitored more frequently but I also have another concern. I am 27 weeks now and had a sudden bleeding episode after intercourse one night back in April. I went to the Dr. who told me that the cervix is just very sensitive during pregnancy and any bump can cause bleeding ( yes i know this already) but it wasn't a normal bleed and i continued to bleed for 3 weeks and called them back every week asking why i was still bleeding. They kept telling me i was fine and to just wait it out. luckily I didn't want to take that answer so i switched Dr.s and during the ultrasound that next day they discovered a subchorionic hemorrhage i was put on bed rest for a week and it cleared up in that time. Well i have continued to bleed (lightly) but continues and the Dr. cannot figure out why. Has anyone had this issue along with a subchorionic and VIC?
07-07-2014 07:41 PM
vivica2 I am so so glad I have found this thread.

I am 3 days post partum after delivering a full term 4 lb baby. She had decels with every contraction, so the or staff was on standby as per doctors orders. Delivered my beautiful girl, do realizes how small she is, and then when placenta delivers the cord kindof "shreds" as it comes apart from the placenta. The doctor looks at it for a second.... "Hmmmm, that's strange" then realizes what happened. He is then elbow deep I to my uterus and can't get the placenta. "Prep the OR!!!" I start bawling thinking they are going to cut me open. After they assure me it is only a d&c, I calm. Prosecute goes great. Baby is fine.

2 extra days in the hospital to observe baby and do bold sugar conus and weight checks.

Full term at 4 lbs???? Insane! Apparently there was also some sort of clot in the umbilical cord.

I am so glad that we got so lucky. Had my water broken before hand and the cord come lose she would have bled out in seconds.

I am so so sorry for the loss some of you have had to deal with. *hug*

I feel so insanely blessed, and a grateful for a excellent medical care.
04-23-2014 11:29 PM
Canada Mom

If you had an undiagnosed VCI and had a homebirth and a healthy baby, count yourself extremely lucky.

 

If you lost your baby, I am so, so sorry.

 

If you have a diagnosed VCI, you are crazy not to consider this a high risk pregnancy.

 

Fourth baby.  Three previously extremely easy, all natural births.  I considered having a homebirth, but midwives are in extremely short supply here and my doctor is all-natural and I had had good experiences, so I stuck with a hospital birth.  Two ultrasounds during my pregnancy.  (First was routine, second was to check baby's position.)  The placenta & cord were briefly looked at, but were not the reason for the ultrasounds.  Nothing unusual.

 

At 40 wks, 3 days, in early labour and I had two episodes of bleeding.  Went to the hospital and was sent home twice by the doctor on call.  (And side note, we all like to blame the doctor, especially one who had access to surgical advice, but the midwives around here think they're God and would not have taken this seriously either.)  At home, my water spontaneously broke.  I rushed to the hospital, as I usually deliver imminently when my water breaks.  On the way I suffered a complete placental abruption.  I had an emergency c-section.  My baby was in NICU and required a blood transfusion.  My recovery was horrific due to the circumstances.  We live five minutes away from the hospital and the best surgeon in the city happened to be in the hallway at the time.  If we lived one neighbourhood away, my baby would have died.  If we lived any farther away, we both would have died.  It is only by God's grace we are both alive and healthy today.

 

It was later found I had: 1) a bi-lobed placenta, 2) VCI, 3) short cord, 4) cord around baby's neck on top of the 5) placental abruption.  (I did not have vasia previa.)  I had zero risk factors or warning signs up until that day.  They said I never would have been able to deliver vaginally.

 

If you are dealing with this, please do your research.  Just because there are some good outcome stories on this thread doesn't mean you can't take this seriously.  VCI means you are at higher risk for a placental abruption.  The cord is hanging on by a thread.  My baby could have kicked the cord off the placenta at anytime.  I am not trying to scare you.  You do not want to lose your baby.  My baby was saved and I am still having nightmares.

03-09-2014 04:41 PM
Maureen Templin joy.gif thank you for sharing! I really needed to understand this more:o. Sooooo many thanks!:namaste.gif
11-28-2013 11:41 PM
USAmma

nevermind, already posted

10-07-2013 08:06 PM
denise12192012

My grandson died 12-23-12 from this condition the ultra sound reflect there was a problem 3 times but the OBG never read the report. Should we seek leagal action r just move on. Our son could have lived had the Dr read the report and even the ultra sound that was done on 12-15-12 request that the Dr. send the patient to the hospital asap and nothing was done. The baby died

09-05-2013 02:54 PM
mareseatoats

Does anyone know what causes VIC or how likely it is to reoccur? My second child was born quite healthy after a short labor. He was over 10lbs, short cord, VI. I had lots of ultrasounds during my pregnancy because of polyhydramnios and the VI was never detected (I had a birth center water birth). At no point did I have bleeding or any other complications, and I believe the poly was from being rearended by a large truck - it resolved after a few months. 

08-13-2013 06:53 PM
weesej

Well I have found my way back to this board after a full decade and what do I find!  A post I replied to in 2003 as a midwifery student.  I have an interesting update.

 

I ended up having a VCI diagnosed at 17 weeks with my 7th child.  I had bleeding from 4 weeks until 16 weeks, mainly due to a SCH.  Baby originally implanted very close to the tube and the attachment point and placenta migrated away causing the velamentous insert. At that point it measure 2cms from cord to placenta.  All further US to check on placement showed the vessels at the top of the uterus. I had a hospital birth due to insulin dependent diabetes with a very hands off OB.  He did not rupture the membranes, which broke as I was pushing baby out or use and cord traction for the placenta.  Once the placenta was delivered there was a full 6 inches from the cord. 

 

While a vasa previa is an emergency requiring a C-section, I still feel that a VCI is safe being delivered in a hands-off non-interventive fashion.

07-06-2013 04:12 PM
wickerparkmom What a fascinating thread, thanks to all who have posted their stories, wanted to share mine:

I have birth to #2 on 6/28/13. Thought I was having a normal pregnancy as the VCI was undiagnosed. Was induced with pitocin and given magnesium because of preeclampsia. Started at 3 am, AROM after 4 hours, and born at noon. Labor and delivery were actually great. Her heart rate was excellent despite the interventions. She was tiny though, 6 lbs compared to my #1 who was 9 lbs.

Where we ran into trouble was delivering the placenta. The cord just shredded. My midwife was in my uterus up to her elbows pulling out chunks of placenta. Bleeding in total was close to 1.5 L. A bakri balloon was placed in my uterus to stop the hemorrhaging.

I feel we are both lucky to be alive considering everything we went through. She is strong and healthy and I am recovering slowly at home.
01-28-2013 06:26 AM
christyc I am so sorry for your loss! That must be ao hard!

It sounds like it could have been a vasa previa. VI in and of itself is not necessarily bad unless the VI is right over the cervix (like in placenta previa). They definitely should have gotten you in faster! Again, heartfelt sympathies for your baby and you!
09-24-2012 10:07 AM
Lillis mummy x Hi everyone, I lost my baby girl due to undetected VI Just 9 months. i was not completey happy with the care I was I was given when I went in to the hospital as after telling the mw on the phone I was losing blood and the contractions were strange they still left me in the waiting room for nearly 10 minutes!!! All said and done it was another 50 minutes or so before the doc came to see me then I was rushed to theatre. Lilli was resuscitated but her poor little organs had shut down due to oxygen to her brain. I can't help but think the nurses, docs and mid wife's on that night could have done more for me seeing they knew I was bleeding therefore in my opinion should have had me checked straight away.........a simple check could have saved our angels precious life!!!

Can anyone tell me could this have been picked up on the numerous scans we had while I was carrying Lilli? Also does anyone else agree that I should have been taken straight in?
09-18-2012 08:53 AM
cynthia mosher

starNICURN welcome to Mothering. I suggest you take some time to educate yourself about homebirth. Your post here is entirely inappropriate. If you wish to have a logical and respectful discussion about homebirth please start a thread in the Homebirth forum for that purpose rather than post in this manner to a mother's birth story thread. 

09-18-2012 05:15 AM
starNICURN

HOME DELIVERIES ARE FOR PIZZA!!! Take it from a NICU nurse that has seen what can happen with home deliveries gone bad.  It's NOT worth the risk and lifelong repercussions for your child!

07-21-2012 08:06 AM
PMJsMom
Quote:
Originally Posted by JemMace View Post

This is the confirmation I needed - I lost my baby girl at 36+4 (still born) with no explanation from the doctors. I was simply told it was "one of those things" I lost my baby in September 2012 and I'm currently 25weeks pregnant so I'm pretty anxious as you can imagine. I could not bear the thought of the same thing happening again so I'm trying to get answers to avoid this same tragedy happening... After reading about "velamentous cord insertion" the similaries to what I experienced make me believe this is hat happened although that was never confirmed by the hospital (poss to hide the fact they messed up big time by not identifying this with routine scans) I noticed baby was moving quite a lot more than usual, I had pains through the night followed by my plug show the following morning, was told by the hospital to keep an eye on the pains and if anything was to change then ring back, that day I felt normal baby movements and the same pains that following night, in the morning the pains had stopped and I hadn't felt any baby movements, my M/W came to see me and could find a heartbreat and sent me to be hospital where they confirmed they couldn't detect baby's heartbeat. Later that night my waters broke and I went into natural labour, baby was born a healthy weight of 6lb2oz considering she would have been over 3week early. I was then unable to deliver my placenta and had to have this manually removed jus like you - I'm almost 100% this is the condition I must have had. Thankfully I'm having fortnightly scans and colour dopplers are being used but I'm certainly going to be asking more questions since reading these post.
Thanks for all the information shared


Hey JemMace. I also lost my baby girl at 40+2 due to VCI June 18th 2012. I saw that your 25 weeks pregnant again and I was just curious as to how long you waited to get pregnant again. I know every body is different but I long to have a child and feel that love. It took me and my husband 7 years to get pregnant...so hopefully it will happen quickly this time. I'll also be asking more questions next time as I don't think I could bear loosing another child due to something that could have been prevented. Thanks.

06-12-2012 09:17 PM
eleuthia

I was just diagnosed today (at 31w4d) with a succenturiate placenta (main part is anterior & the accessory lobe is posterior) with a probable velamentous insertion. The perinatologist used color doppler & looked around for a long time but still wasn't able to fully see the insertion to confirm it is velamentous, but it looks like it occurs in between the lobes; I also recall the tech at my 20wk u/s saying offhand that I had a velamentous insertion. This is all at the very top of my uterus. I am not sure how concerned I should be. I am mostly worried about the potential for a missed vasa previa. I am not sure if that's even a possibility - could there be unprotected vessels hiding down low when everything else is up high? A transvaginal ultrasound was not done, though the doctor definitely looked down by my cervix. Complicating everything, I have a cervical polyp that has caused bleeding throughout the pregnancy. That would make a transvaginal u/s problematic, as it would almost certainly cause bleeding. And now, whenever I have bleeding, it will be hard not to worry that it's a ruptured vessel. 

 

I am being seen for my regular care at a freestanding birth center, but now I may be risked out to the hospital where the midwives can deliver, and even if I'm not, I am feeling wary of delivering out of the hospital, especially if I can avoid many of the unnecessary interventions but be in the hospital.  

06-10-2012 02:47 AM
viking girl

I also was diagnosed with VCI but not until after the birth of my son. It had in my case caused chronic abruption of my placenta and at barely 32 weeks of gestation it then caused a full abruption. my son was delivered with emergency C-section and I thank god that we were already at the hospital because of the previous episodes of bleeding. My OB was incredible and acted faster than anything I have ever heard of and that saved both of us. Have anyone experienced a relation between VCI and placenta abruptae?

05-12-2012 06:25 AM
JemMace This is the confirmation I needed - I lost my baby girl at 36+4 (still born) with no explanation from the doctors. I was simply told it was "one of those things" I lost my baby in September 2012 and I'm currently 25weeks pregnant so I'm pretty anxious as you can imagine. I could not bear the thought of the same thing happening again so I'm trying to get answers to avoid this same tragedy happening... After reading about "velamentous cord insertion" the similaries to what I experienced make me believe this is hat happened although that was never confirmed by the hospital (poss to hide the fact they messed up big time by not identifying this with routine scans) I noticed baby was moving quite a lot more than usual, I had pains through the night followed by my plug show the following morning, was told by the hospital to keep an eye on the pains and if anything was to change then ring back, that day I felt normal baby movements and the same pains that following night, in the morning the pains had stopped and I hadn't felt any baby movements, my M/W came to see me and could find a heartbreat and sent me to be hospital where they confirmed they couldn't detect baby's heartbeat. Later that night my waters broke and I went into natural labour, baby was born a healthy weight of 6lb2oz considering she would have been over 3week early. I was then unable to deliver my placenta and had to have this manually removed jus like you - I'm almost 100% this is the condition I must have had. Thankfully I'm having fortnightly scans and colour dopplers are being used but I'm certainly going to be asking more questions since reading these post.
Thanks for all the information shared
04-06-2012 09:22 PM
theogeo

Another homebirther here. We didn't know about the VCI until the placenta came out (without much fuss, just a little cord traction). We did, however, know we had a single umbilical artery, discovered at our 18-week ultrasound. I saw a perinatologist but given the placement of the placenta and how normally everything else was progressing, we proceeded with our homebirth plans. I delivered at 39 weeks, 2 days. Water broke early in the morning on Friday and I went into full-blown labor that night at midnight. The baby handled labor like a champ and eight hours later (fast labor for a first-timer!) my midwife inspected the placenta and said she'd never seen anything quite like it. 

 

Other than the baby being somewhat smaller than I expected -- 7.5 pounds; I was expecting a BIG boy! -- he was and is in perfect health. I am so grateful for the wonderful outcome given all the variables involved.

 

Thanks for sharing your stories, everyone.

02-23-2012 09:42 PM
marrymeflyfree

I'd like to add another positive story...my first baby had an undiagnosed VCI despite the routine 20 week ultrasound.  At 20 days past her due date and with a very tiny fluid leak, I took castor oil at the freestanding birth center.  She was born 6 hours later with several large hematomas on her cord.  I'm still not exactly sure what happened with the delivery of the placenta, but it was a bit dramatic for a little while.  I *think* she started to pull on the cord, and I think that's when my bleeding started worrying her.  In the end, the placenta was delivered and my bleeding controlled without the need for transfer, and examination of the placenta very clearly showed the abnormal insertion.  The baby was 8lbs 13oz, and is now a happy and precocious 3.5 year old!  We had no warning of the VCI, and honestly I did not know for quite some time after her birth how lucky we were.

01-24-2012 02:31 PM
Mandi2214

Thanks so much for the information!!!

I just had my ultra sound to determine the sex and any abnormalities. The doc says I have velamentous insertion and wants to see me once a month to make sure the baby is growing properly I'm right about 20 weeks. I will go next month to see if any vessels cross my cervix but she said he looks great so far no issues.

 

Thanks again praying.gif

01-24-2012 02:30 PM
Mandi2214

Thanks so much for the information!!!

I just had my ultra sound to determine the sex and any abnormalities. The doc says I have velamentous insertion and wants to see me once a month to make sure the baby is growing properly I'm right about 20 weeks. I will go next month to see if any vessels cross my cervix but she said he looks great so far no issues.

 

Thanks again praying.gif

01-24-2012 02:30 PM
Mandi2214

Thanks so much for the information!!!

I just had my ultra sound to determine the sex and any abnormalities. The doc says I have velamentous insertion and wants to see me once a month to make sure the baby is growing properly I'm right about 20 weeks. I will go next month to see if any vessels cross my cervix but she said he looks great so far no issues.

 

Thanks again praying.gif

09-23-2011 10:57 AM
bignerpie

I just had an HBAC, and we didn't know that I had a VCI until I delivered the placenta. I don't know if I also had VP. My midwife did not mention it, so I'm assuming not. The only issue that I had was that the umbilical cord was extremely short. I had to hold my baby pretty much between my legs until we cut the cord. I did have a 20 week ultrasound, but there was no mention of any cord issues.

 

My entire labor was 2 hours, 50 minutes, and my water broke on its own, so it was a very fast, easy labor. I'm kind of freaked out now, thinking about the what ifs. But at the same time, I feel very fortunate to have had such a great experience and no issues relating to the VCI.

09-23-2011 09:38 AM
Jaimep

You are most definitely not crazy. Its seems you are doing the best of both worlds, planning a homebirth but getting monitored with a ultrasound and such to see the progress. I personally feel that the low interventions that occur with homebirth give the best chances of everything going smoothly. But like you said, I say this as a previous success story. I know others feel differently and I am sad for them and their loss or problems.

 

We are planning our second homebirth anyday now and I am really excited.

 

Good luck and please share here how it goes and what you ultimately end up doing!

09-23-2011 09:23 AM
TrumpetMom So contrary to what some people on a different forum site are suggesting, I'm not totally crazy continuing my plans for an HBA2C with VCI? We've prayed about our decision and feel at peace, but I'm getting distressed that people are going to think I'm evil or something if something bad does happen. My gut feel is that everything will be fine. I do not have VP, only VCI. At 28 weeks the perinatalogist said it is 2cm from the cervix and my midwife is of the opinion that things will continue to move up and away. The peri also told me that VP (with vessels actually crossing the cervix) cannot happen at this point because the vessels won't grow any more.

I really appreciate all of the stories, with both positive and negative outcomes. Both are very enlightening; much to think about. I hope you'll all understand if I'm really latching on to the postive outcome stories, since I hope to be one of them. My heart goes out to all of you who have lost a child to these conditions (both VP and VCI), or had complications as a result. For those of you who had a c/s (planned or emergent) or any other complicationdue to the condition, I pray for complete healing both physically and emotionally for you.

Thank you all for this thread, regardless of how long ago it was started. The information here is invaluable for moms who are looking for information and encouragement in making the right decision for theor families.
08-14-2011 06:25 PM
Cheshire

After losing my son to VCI we decided with our next pregnancy to find an OB and a perinatologist to work with us to make sure it didn't happen again.  We knew it would be rare for it to happen again but then again losing our son to it was supposed to have been rare.  When your the 1%, odds don't matter anymore.

 

http://www.preginst.com/UmbilicalCordAccidents2.pdf      Read page 31 especially for detecting and managing.

 

Umbilical cord accidents are more common than most suspect.  With my first son I had a battledore insertion (marginal insertion).  Everyone said it was incidental and interesting.  Shouldn't happen again.  Well, they were right.  The next time it was even worse with a velamentous insertion.

 

For us, gathering as much info as we could with our third pregnancy helped us sleep better at night.  As Jaimep said, you have to do what you feel is right. 

08-14-2011 07:18 AM
Jaimep

SaraDani21,

 

From all the reading and research I have done on this no, it should not happen again. The statisics say that it only happens in 1% of singleton births. So the fact that it happened to you at all is RARE. you have a 99% chance it won't happen again.  ALso from what I have read is that Ultrasounds only pick it up in about 50% of cases. Of course if you wanted them to specifically look for it then they would have a better chance of finding it. However, if they do find it be aware that they would recommend a C-section.

 

Having had a baby with this and a normal birth/healthy child you know that a c-section is not necessary. I know the same thing because I had a healthy son too. We are also pregnant again and have chosen not to have an ultrasound. We don't want to know sex and I am honestly not worried about the VCI happening again since it is so rare to start with.

 

I know we are also lucky because we are the good birth stories and there are sad ones here. SO I am not dismissing these other mama's feelings about it. I am sure they would tell you to get the Ultrasound. You will have to do what you feel is right in that regard.

08-12-2011 11:07 PM
SaraDani21

I gave birth to my daughter back in Feb. of 2009. I had her with a VCI. Like Tattoomom from 2007, my labor was induced with pitocin and they ruptured my membranes several hours before my daughters heart rate started dropping due to the fact that I wasn't breathing after my contractions. I was fully dilated and 8 cm and hadn't progressed in 12 hours. Finally I was forced to have an epidural (which I had been avoiding). About 3 hours after the epidural my daughter was born. There were no complications during the actual birth, except a little more blood loss than my midwife would've liked. When I pushed my placenta out, the attending made a comment on how it was odd and my midwife gave him a scowl. My husband asked about it, but they just responded with there could've been complications, but there weren't. When I went back a month after my daughter was born, I asked about it and they said, "Oh, you're the one!". How likely is this to happen again? I've heard that it's detectable, should I try a different caregiver for my next child because they didn't notice?

07-16-2011 01:08 PM
Jaimep

In my experience (I am preg. with #4) ultrasounds are not so accurate all the time. Measuring a week ahead or behind doesn't really mean much. Now if they are monitoring you and baby consistently is measuring smaller or no growth those are things to worry about. You could do some yoga inversions and excercises to move baby around. I imagine you have plenty of room so cord compression is not likely this early.

 

My VI baby was only 6 lbs 7 oz. My first two births were 8lb and 8lb 3 oz.  So we wondered if size had to do with the VIC. Now at 3 years old we can say that he is just built like me tall and skinny. I was only 6 7 at birth as well. He is still petite.

07-16-2011 12:32 PM
txmomto2

Thanks Jaimep, will do for sure. Knowledge is my power and I am much more afraid of not knowing then knowing. The hospital I will deliver at is also the one I work at so I have no problem bullying a nurse or my dr for that matter to get what I want. A midwife is not in the budget and I like my dr, he was my mom's ob when she was pregnant with me.  I went for another ultrasound, the one at 18 weeks he measured a week ahead and now he measures a week behind.  I wonder if that is normal this early or if the cord is being compressed?  I also purchased a fetal heartrate monitor for my piece of mind.  Will update as things progress.

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