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Velamentous Insertion Case Study: Managing Obstetric Complications

This case study follows a 33-year-old G2P1 patient with velamentous cord insertion and nuchal cord, managed through prenatal visits, education on premature labor, and fetal movement monitoring. The patient underwent induction for fetal heart rate changes, overseeing by husband's return from Iraq and celebrated Mother's Day. The narrative includes fetal heart rate monitoring and ultrasound findings, emphasizing patient care and fetal outcome.

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Velamentous Insertion Case Study: Managing Obstetric Complications

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  1. Velamentous Insertion Case Study • 33 y/o G2P1 (NSVD x 1) evaluated prenatally at 22 weeks for Fetal Heart Rate Cord Compression patterns. Umbilical Cord Insertion Study revealed a Velamentous Insertion L Fundal Membranes with a Placenta Fundal Posterior location. Prenantal Visits were planned q 2 weeks. The patient was educated on premature labor and fetal movement extremes. ----- At 35 weeks the fetus was noted to also have a Nuchal CordX1. The patient was evaluated on Labor & Delivery for contractions. She was allowed home for a following biweekly F/U ---- Her Marine husband was returning Monday from Iraq. She was induced thurs for FHR changes and Mother’s Day was (Sun). • A NSVD documented FHR changes , Nuchal Cordx1 , and a Velamentous Insertion.

  2. Velamentous Insertion @ 22 weeks

  3. 35 Weeks –Ultrasound showing Nuchal Cord x1

  4. 35 week NST showing late deceleration.

  5. Luke 11:1-13 “Seek and you will find”.

  6. Home Fetal Heart Rate Monitoring Comparing Two Patients One Normal and One with Umbilical Cord Compression

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