Pregnancy is an incredible journey, full of excitement, anticipation, and sometimes a few concerns, as it involves numerous changes and potential complications.

Marginal cord insertion is a pregnancy complication where the umbilical cord attaches abnormally to the placenta. A considerably rare condition, this abnormality can affect fetal development, cause placental abruption, and even lead to preterm labor. The good news is that this condition can be effectively managed when identified early and with the right awareness beforehand, it can be prevented.

The first step to avoiding the risks is to raise awareness about possible complications and take necessary steps to mitigate them. We take that first step with this blog today.

What is Marginal Cord Insertion?

During pregnancy, the umbilical cord usually attaches to the center of the placenta, supplying the foetus with oxygen and nutrients. However, in marginal cord insertion, the cord attaches to the edge or around the placenta. This may seem minor, but it can impact the baby’s blood flow, oxygen, and nutrients.

Symptoms of Marginal Cord Insertion

Symptoms of marginal cord insertion are often asymptomatic and can go unnoticed until a routine prenatal scan. A few symptoms include:

1. Slow Foetal Growth: If the baby isn’t growing as expected, it might be linked to marginal cord insertion.
2. Low Amniotic Fluid: Reduced fluid around the baby can sometimes happen.
3. Heart Rate Changes: You might notice variations in the baby’s heart rate due to blood vessel compression.
4. Higher Risk of Complications: There could be a higher chance of preterm birth or low birth weight.

“Keep up with regular check-ups and ultrasounds. Always consult your gynaecologist for the best advice”, says gynaecologist in Mumbai Dr Neelima Mantri, when asked about the ways to identify the condition and prevent the symptoms.

Marginal Cord Insertion Causes:

So, what causes this condition? Well, researchers are still determining the exact causes of marginal cord insertion. Some studies suggest that factors such as:

1. Placental development: Sometimes, the placenta doesn’t grow uniformly, leading to an off-centre cord attachment.
2. Multiple pregnancies: Twins or triplets may have a higher risk due to limited space in the uterus.
3. Maternal age: Women over 35 may have a slightly increased risk.
4. Previous uterine surgeries: These can affect how the placenta implants.

Remember, having these risk factors doesn’t necessarily mean you’ll develop marginal cord insertion. In many cases, it occurs without even a clear cause. But how is it diagnosed and treated?

Marginal Cord Insertion Diagnosis:

Diagnosis typically happens during routine imaging studies. Here’s what you can expect:

• Second-trimester ultrasound: This is often when marginal cord insertion is first detected.
• Follow-up scans: Your doctor may recommend additional ultrasounds to monitor the condition.
• Doppler ultrasound: This specialized scan can assess blood flow in the umbilical cord.

If your doctor suggests additional scans, it’s a routine measure to ensure everything is progressing as expected.

Marginal Cord Insertion Treatment:

Many cases of marginal cord insertion don’t need particular treatment, which is encouraging. Yet, your gynaecologist will generally:
1. Monitor growth: Regular ultrasounds will track your baby’s growth and development.

2. Check blood flow: Doppler scans can ensure your baby is getting adequate nutrients.
3. Discuss delivery options: In most cases, vaginal delivery is still possible. However, your doctor might recommend a C-section if there are concerns about cord compression during labor.

Managing Marginal Cord Insertion:

While you can’t change the cord’s position, you can support a healthy pregnancy:

1. Attend all prenatal appointments: Regular check-ups allow your doctor to monitor the situation closely.
2. Follow a healthy diet: Proper nutrition supports your baby’s growth and your overall health.
3. Stay hydrated: Adequate fluid intake is crucial for amniotic fluid levels.
4. Avoid smoking and alcohol: These can compromise placental function.

Understanding Marginal cord insertion can bring peace of mind during your pregnancy journey. Staying informed and working closely with a gynaecologist can ensure the best possible outcomes for you and your baby.

If you have concerns about marginal placental cord insertion or any other aspect of your pregnancy. In that case, Dr. Neelima Mantri is the best gynaecologist in Mumbai and offers compassionate and expert care. As the best lady gynaecologist in Mumbai, Dr. Neelima Mantri ensures you and your baby receive the highest quality care throughout your pregnancy.