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If a woman has velamentous cord insertion, but not vasa previa, is it safe to deliver vaginally?

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If a woman has velamentous cord insertion, but not vasa previa, is it safe to deliver vaginally?

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Though it is common to deliver with a VCI without detriment to the baby, VCI carries risk even when not a vasa previa. VCI may be allowed a trial of labor if the vessels are away from the cervix. However, close continuous monitoring is mandatory. The vessels could rupture, and also pressure on the vessels could lead to fetal compromise. This can be detected early by monitoring.

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