{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T12:26:35Z","timestamp":1793449595797,"version":"4.5.0"},"reference-count":16,"publisher":"Walter de Gruyter GmbH","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpm-2019-0459_abs_001_w2aab3b7c14b1b6b1aab1c15b2Aa\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Furcate cord insertion is a rare abnormality affecting approximately 0.1% of all pregnancies. Macroscopically, the umbilical vessels separate before reaching the placenta, lose their Wharton\u2019s jelly, and insert at the placenta centrally, eccentrically, or marginally. The aim of this retrospective study was to determine the prevalence of furcate cord insertion more accurately, the pathological characteristics, and clinical outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2019-0459_abs_002_w2aab3b7c14b1b6b1aab1c15b3Aa\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We conducted a retrospective study of 132 cases of furcate insertion of the umbilical cord using the pathological database of the Charit\u00e9 University Hospital Berlin, Germany, between 1993 and 2016. This included 99 cases, including one termination of pregnancy within our institution and 33 cases from external hospitals. An analysis of the pathological features of the 132 cases and the perinatal outcome of the 98 cases within our institution were performed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2019-0459_abs_003_w2aab3b7c14b1b6b1aab1c15b4Aa\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Furcate cord insertion occurred in 0.16% pregnancies. Of the 132 cases, seven cases of intrauterine fetal deaths were observed. Three of those could be linked to the furcate cord insertion. In two of those cases, single umbilical vessel rupture was identified as the cause of fetal death.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2019-0459_abs_004_w2aab3b7c14b1b6b1aab1c15b5Aa\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>In most cases of furcate cord insertion, the outcome is good; however, intrauterine fetal death occurs in approximately 1.02% of cases.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpm-2019-0459","type":"journal-article","created":{"date-parts":[[2020,8,18]],"date-time":"2020-08-18T07:16:05Z","timestamp":1597734965000},"page":"819-824","source":"Crossref","is-referenced-by-count":15,"title":["Furcate insertion of the umbilical cord: pathological and clinical characteristics in 132 cases"],"prefix":"10.1515","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2201-1494","authenticated-orcid":false,"given":"Philipp","family":"Kosian","sequence":"first","affiliation":[{"name":"Department of Obstetrics , Charit\u00e9\u00a0\u2013 Universit\u00e4tsmedizin Berlin , Berlin , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Henrich","sequence":"additional","affiliation":[{"name":"Department of Obstetrics , Charit\u00e9\u00a0\u2013 Universit\u00e4tsmedizin Berlin , Berlin , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Entezami","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr Pr\u00e4nataldiagnostik und Humangenetik , Berlin , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5131-7372","authenticated-orcid":false,"given":"Alexander","family":"Weichert","sequence":"additional","affiliation":[{"name":"Department of Obstetrics , Charit\u00e9\u00a0\u2013 Universit\u00e4tsmedizin Berlin , Berlin , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2020,8,8]]},"reference":[{"key":"2021021320132209743_j_jpm-2019-0459_ref_001_w2aab3b7c14b1b6b1ab2b1b1Aa","unstructured":"Foss, JVM. \u00dcber Beziehungen zwischen Implantationssch\u00e4den der Plazenta und Plazentationsst\u00f6rungen. Z Geburtsh Perinatol 1972;176:36\u201344."},{"key":"2021021320132209743_j_jpm-2019-0459_ref_002_w2aab3b7c14b1b6b1ab2b1b2Aa","unstructured":"Benirschke, K, Kaufmann, P, Baergen, RN. Anatomy and Pathology of the umbilical cord. Pathology of the Human Placenta 2006;5:380\u2013451."},{"key":"2021021320132209743_j_jpm-2019-0459_ref_003_w2aab3b7c14b1b6b1ab2b1b3Aa","doi-asserted-by":"crossref","unstructured":"Herberz, O. \u00dcber die Insertio furcata funiculi umbilicalis. Acta Obstet Gynecol Scand 1938;18:15. https:\/\/doi.org\/10.3109\/00016343809153805.","DOI":"10.3109\/00016343809153805"},{"key":"2021021320132209743_j_jpm-2019-0459_ref_004_w2aab3b7c14b1b6b1ab2b1b4Aa","unstructured":"Hyrtl, J. Die Blutgef\u00e4\u00dfe der menschlichen Nachgeburt. In: Normalen und abnormen Verh\u00e4ltnissen. Vienna; 1870:2."},{"key":"2021021320132209743_j_jpm-2019-0459_ref_005_w2aab3b7c14b1b6b1ab2b1b5Aa","doi-asserted-by":"crossref","unstructured":"Ottow, B. \u00dcber die Insertio furcata der Nabelschnur. 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