Evidence map›Paper›PMID 41561660›Full record

ArticleCureus2026

Velamentous Cord Insertion With Vaginal Delivery: A Case Report and Review of the Literature.

George Mpourazanis, Stefanos Flindris, Konstadinos Pantazis, Dimitrios Alefragkis, Petros Papalexis, Ioannis Korkontzelos, Ioannis Kosmas, Apostolos Ntanasis, Pietro Serra, Antonio Simone Laganà and 2 more

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

George MpourazanisDepartment of Obstetrics and Gynecology, General Hospital of Ioannina "G. Hatzikosta", Ioannina, GRC.
Stefanos FlindrisSecond Department of Obstetrics and Gynecology, Hippokration Hospital of Thessaloniki, Thessaloniki, GRC.
Konstadinos PantazisUnit of Urogynecology, Second Department of Obstetrics & Gynecology, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, GRC.
Dimitrios AlefragkisFourth University Department of Internal Medicine, Unit of Hematology and Oncology, University General Hospital Attikon, Chaidari, GRC.
Petros PapalexisUnit of Endocrinology, First Department of Internal Medicine, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Ioannis KorkontzelosDepartment of Obstetrics and Gynecology, General Hospital of Ioannina "G. Hatzikosta", Ioannina, GRC.
Ioannis KosmasDepartment of Obstetrics and Gynecology, General Hospital of Ioannina "G. Hatzikosta", Ioannina, GRC.
Apostolos NtanasisDepartment of Anesthesiology, General Hospital of Ioannina "G. Hatzikosta", Ioannina, GRC.
Pietro SerraUnit of Obstetrics and Gynecology, Paolo Giaccone University Hospital, Palermo, ITA.
Antonio Simone LaganàUnit of Gynecologic Oncology, ARNAS "Civico-Di Cristina-Benfratelli" Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, Palermo, ITA.
Rüdiger Schulz-WendtlandDepartment of Gynecology and Obstetrics, University Breast Center for Franconia, University Hospital Erlangen, Friedrich-Alexander University of Erlangen-Nuremberg, Erlangen, DEU.
Panagiotis TsirkasDepartment of Obstetrics and Gynecology, General Hospital of Ioannina "G. Hatzikosta", Ioannina, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Velamentous cord insertion (VCI) is a rare placental abnormality in which the umbilical cord enters the chorionic membranes instead of the placenta, leaving the umbilical vessels unprotected. This pathological condition carries an increased risk of adverse perinatal outcomes, such as fetal growth restriction, preterm delivery, abnormal fetal heart rate patterns during labor, and perinatal morbidity, which often lead healthcare professionals to choose cesarean section to reduce postnatal risks. Early prenatal diagnosis using color Doppler imaging and comprehensive ultrasound is of utmost importance for proper risk assessment and birth planning. This case study presents a 28-year-old woman in whom screening for abnormalities during the second trimester of pregnancy detected a prenatally detected velamentous umbilical cord insertion. The pregnancy was closely monitored, and the patient chose vaginal delivery despite the multidisciplinary team's recommendations for a cesarean section, with continuous intrauterine monitoring of the fetus. At 38 weeks of gestation, a successful vaginal delivery was performed with vacuum assistance, without complications for the pregnant woman or the newborn. A postnatal examination of the placenta revealed velamentous attachment of the umbilical cord, and both the mother and the newborn recovered without complications. In pregnancies complicated by velamentous umbilical cord insertion, vaginal delivery may be a safe and feasible option when accompanied by appropriate prenatal evaluation and continuous intrauterine monitoring. These findings are supported by other case studies following a comprehensive review of the existing literature. Instead of preferring cesarean section, individualized obstetric care can improve outcomes while respecting the mother's preferences. However, further extensive research is needed to develop evidence-based guidelines on the best methods of delivery for such pregnancies.

Indexed as

cesarean deliverycord insertionvaginal deliveryvcivelamentous cord insertion

Identifiers

PMID41561660
PMCPMC12813728

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.