Sonographic Assessment of the Umbilical Cord

Di Naro, Edoardo; Raio, Luigi; Cromi, Antonella; Giocolano, Alessandra (2012). Sonographic Assessment of the Umbilical Cord. Donald School Journal of Ultrasound in Obstetrics and Gynecology, 6(1), pp. 66-75. Jaypee Brothers Medical Publishers 10.5005/jp-journals-10009-1227

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The umbilical cord is not an inert structure, suspended between
the fetus and placenta, but it plays an active role and it is involved
in several processes afflicting the feto-placental unit.
Its study has to be regarding not only its morphology and
morphometry, and the impendance of blood flow by Doppler
waveform analysis, but it includes also an analysis of the coiling
type and the amount of the Wharton Jelly. The umbilical cord
has been considered like an important and huge source of
informations, useful to assess the well-being of the fetus and
the outcome of pregnancy.
The standardization of ultrasound techniques is the first step
to speak the same language and make the study of this structure
a fundamental part of well-being fetus assessment.
This article is carefully focused on morphologic,
morphometric and functional ultrasound examination of umbilical
cord and suggests that any anomaly detected should provide
an indication for an intense fetal follow-up, useful for early helpful
therapy, preventing serious complication for the pregnancy.

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