Abnormal Placentation and Umbilical Cord Insertion

Abstract

In the last decades, abnormal placentation and umbilical cord insertion have become an increasingly relevant and feared pathology in obstetrics with increased morbidity and mortality for mother and child. In addition to several increasingly common risk factors, such as assisted reproduction, the main reason for the increased occurrence is the greater frequency of Cesarean sections. Correct diagnosis, which is primarily determined sonographically, is essential for targeted perinatal management. In particular, the diagnostic criteria and current management recommendations are described in the following article.

Zusammenfassung

Störungen der Plazentation und Nabelschnurinsertion haben sich in den letzten Jahrzehnten zu einer zunehmend relevanten und gefürchteten Pathologie der Geburtshilfe mit erhöhter Morbidität und Mortalität für Mutter und Kind entwickelt. Neben einigen zunehmend häufigeren Risikofaktoren wie beispielsweise assistierte Reproduktion liegt die Hauptursache für das vermehrte Auftreten in der angestiegenen Häufigkeit der Sectio caesarea.

Essenziell für ein gezieltes perinatales Management ist die korrekte Diagnosestellung, welche vorrangig sonografisch erfolgt. Im folgenden Artikel sollen insbesondere die diagnostischen Kriterien und aktuellen Managementempfehlungen vorgestellt werden.

Publication History

Article published online:
07 April 2020

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