{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T22:55:39Z","timestamp":1781909739510,"version":"3.54.5"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"1197","license":[{"start":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T00:00:00Z","timestamp":1736467200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Natural Science Foundation of Fujian","award":["2021\u00a0J011449"],"award-info":[{"award-number":["2021\u00a0J011449"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,6,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Our study aims to evaluate the umbilical vein (UV) hemodynamic change in the prenatal cohort of pregnancies diagnosed with abnormal placental cord insertion (aPCI).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>From January 2022 to December 2022, the fetal umbilical cord insertion site was sonographically examined in singleton fetuses, and umbilical cord blood flow was calculated. The umbilical artery and UV Doppler flow indexes were assessed in cases of normal and abnormal cord insertion.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among 570 singleton fetuses between 18\u2009+\u20090 and 40\u2009+\u20096\u00a0weeks of gestation in the final study, the umbilical vein blood flow (UVBF) in the 3 groups of normal umbilical cord insertions, marginal umbilical cord insertions, and velamentous umbilical cord insertions was 145.39\u00a0ml\/min, 146.18\u00a0ml\/min, and 93.96\u00a0ml\/min, respectively. UVBF was significantly lower in the velamentous cord insertion (VCI) group than in the other groups (P\u2009&amp;lt;\u20090.05). Compared with the normal cord insertions group, lower birth weight (2820\u2009\u00b1\u2009527\u00a0g vs. 3144\u2009\u00b1\u2009577\u00a0g, P\u2009&amp;lt;\u20090.05), delivery at an earlier gestational age (38.0\u2009\u00b1\u20091.55\u00a0weeks vs. 38.8\u2009\u00b1\u20092.34\u00a0weeks, P\u2009&amp;lt;\u20090.05), higher bicarbonate (25.08\u2009\u00b1\u20091.72\u00a0mmol\/L vs. 22.66\u2009\u00b1\u20094.05\u00a0mmol\/L, P\u2009&amp;lt;\u20090.05), and higher standard base excess (\u22121.14\u2009\u00b1\u20091.50\u00a0mmol\/L vs. \u22123.30\u2009\u00b1\u20093.22\u00a0mmol\/L, P\u2009&amp;lt;\u20090.05) were found in the VCI group.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>We observed lower UVBF volume with aPCI. Hence, we propose UVBF analysis to evaluate fetal aPCI according to UV hemodynamics as an advisory in prenatal care. This would be useful and improve obstetricians\u2019 clinical explanation about the potential prenatal consequences so that parents can opt for future prenatal care during pregnancy.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/postmj\/qgae193","type":"journal-article","created":{"date-parts":[[2024,12,17]],"date-time":"2024-12-17T04:34:16Z","timestamp":1734410056000},"page":"627-635","source":"Crossref","is-referenced-by-count":3,"title":["Effect of abnormal placental cord insertion on hemodynamic change of umbilical cord in a tertiary center: a prospective cohort study"],"prefix":"10.1093","volume":"101","author":[{"given":"Xiu-Qin","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Ultrasound, Mindong Hospital affiliated to Fujian Medical University , No. 89 Heshan Road, Fuan City 355000 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Miao","sequence":"additional","affiliation":[{"name":"Department of Ultrasound, Mindong Hospital affiliated to Fujian Medical University , No. 89 Heshan Road, Fuan City 355000 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao-Feng","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Ultrasound, Mindong Hospital affiliated to Fujian Medical University , No. 89 Heshan Road, Fuan City 355000 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong-Qiang","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Ultrasound, Mindong Hospital affiliated to Fujian Medical University , No. 89 Heshan Road, Fuan City 355000 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang-Cheng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Inage Birth Clinic , 6-4-15 Konakadai, Inage-ku, Chiba City 2630043 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei-Hsiu","family":"Chiu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Chung Shan Hospital , No. 11, Ln. 112, Sec. 4, Ren'ai Rd., Da'an Dist., Taipei City 10689 ,","place":["Taiwan"]},{"name":"Department of Obstetrics and Gynecology, Division of Prenatal Ultrasound, Gene Infertility Medical Center , 2F., No. 108, Sec. 2, Chang'an E. 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