Velamentous cord insertion Velamentous cord insertion Velamentous cord insertion is an abnormal condition during pregnancy. Normally, the umbilical cord inserts into the middle of the placenta as it develops. In velamentous cord insertion, the umbilical cord inserts into the fetal membranes (choriamniotic membranes), then travels within the membranes to the placenta (between the amnion and the chorion). The exposed vessels are not protected by Wharton's jelly and hence are vulnerable to rupture. Rupture is especially likely if the vessels are near the cervix, in which case they may rupture in early labor, likely resulting in a stillbirth. This is a serious condition called
Umbilical cord higher rate of neonatal jaundice requiring phototherapy. Delayed clamping is not recommended as a response to cases where the newborn is not breathing well and needs resuscitation. Rather, the recommendation is instead to immediately clamp and cut the cord and perform cardiopulmonary resuscitation. The umbilical cord pulsating is not a guarantee that the baby is receiving enough oxygen. However, where possible, one should perform cardiopulmonary resuscitation with the cord still attached, to receive both benefits of oxygen from the cord and from the intervention. Some parents choose to omit cord severance entirely, a practice called "lotus birth" or umbilical nonseverance.