Veil insertion is a problem connecting the umbilical cord to the placenta, reducing the baby’s nutrition during pregnancy, which can cause sequelae such as delayed baby growth, requiring more ultrasound monitoring to monitor its development.
In this case, the umbilical cord is implanted in the membranes and the umbilical vessels travel a path of variable length before being inserted into the placental disc, as is usually the case, resulting in a decrease in circulation to the fetus.
- Veil insertion is of clinical importance: it is more related to maternal diabetes.
- Smoking.
- Advanced maternal age.
- Birth defects.
- Fetal growth restriction and fetal death.
Veil insertion can be considered an obstetric emergency if blood vessels twist or membranes rupture, causing significant bleeding, especially at the end of pregnancy. In these more severe cases, a C-section should be performed as soon as possible, as the baby is in danger of death.
Diagnosis of velvet insertion is done by ultrasound in the prenatal period, usually from the second trimester.
Treatment of veil insertion depends on the baby’s growth and the presence or absence of bleeding.
If there is no major bleeding, this is a sign that pregnancy has a good chance of successfully ending with a C-section. In such cases, only more careful medical follow-up with regular ultrasounds in the third trimester is sufficient to verify that the baby is growing and feeding properly and satisfactorily.
However, in the case of twin pregnancy and placenta previa, there is an increased chance of complications, severe bleeding can occur mainly at the end of pregnancy due to membrane rupture, and immediate removal of the baby by emergency C-section is indicated.