- What is a normal umbilical cord?
- What is a two-vessel cord?
- What causes this umbilical cord abnormality?
- What are the risk factors for a two-vessel cord?
- How is a two-vessel cord diagnosed?
- Does single umbilical artery pose a risk to the baby?
It is the source of life for your baby. The umbilical cord is a conduit connecting the fetus to the placenta. It carries oxygen and nutrients from the placenta to the fetus’ bloodstream.
In short, it is the means through which you send your baby the nutrients required for their development. So, what happens if such an important connection between you and your baby turns to be abnormal?
What Is A Normal Umbilical Cord?
The formation of an umbilical cord begins during the fifth week. It measures around 20in (50cm) in length (1).
Normally, an umbilical cord has two arteries and one vein. It is also known as a three-vessel cord, which is covered by a thick gelatinous substance called Wharton’s jelly.
Here’s what the blood vessels in the umbilical cord do:
- The vein carries nutrients and oxygen from the mother to the fetus.
- The arteries carry the waste products like carbon dioxide and deoxygenated blood away from the fetus to the mother’s bloodstream, to eliminate them through the mother’s kidneys.
In some cases, complications arise due to a change in the number of blood vessels in the cord. One such abnormality is a two-vessel cord.
What Is A Two-Vessel Cord?
In a two-vessel cord, there is one vein and just one artery instead of two. It is also called single umbilical artery or SUA. This occurs in less than 1% of singleton pregnancies and 6-11% of multiple pregnancies (2).
What Causes This Umbilical Cord Abnormality?
Though the exact cause of two-vessel cord is not known, there are two theories around it.
As per one theory, this condition arises because one of the two arteries stops to grow inside the womb, while another theory suggests improper splitting of the artery into two (3).
As mentioned earlier, this condition occurs in less than 1% of singleton pregnancies but some women are at a higher risk than others.
[Read: Twin Pregnancy Complications]
What Are The Risk Factors For A Two-Vessel Cord?
Here are the factors that could make a woman susceptible:
- Pregnancy after 40 years of age
- Pregnant with a girl
- History of diabetes or episodes of high blood sugar
- Caucasian women
- Multiple pregnancies
However, this condition can arise even without any risk factors. In most cases, the baby is normal but in a few cases there could be problems associated with SUA.
How Is A Two-Vessel Cord Diagnosed?
The SUA can be detected during an ultrasound scan. Usually, the doctors check for the umbilical arteries during the 18th week of gestation. A color-flow Doppler ultrasound can help detect this abnormality earlier. It is usually done in the 14th week.
The doctors also assess the problem by checking:
- Your family and personal medical history
- Fetal echocardiogram to check the functioning of the fetal heart
- Genetic abnormality screening such as an aneuploidy screening
One or more of these tests will detect the problem and help you know if it is going to affect the baby.
Does Single Umbilical Artery Pose A Risk To The Baby?
- Intrauterine growth restriction (requires serial follow-up)
- Congenital heart problems
- Kidney problems (postnatal urinary infection)
- Restricted growth of the central nervous system
- Preterm labor
- Gastrointestinal problems
- Edwards syndrome (Trisomy 18)
If the doctor finds no adverse effects of the two-vessel cord on the baby, then it is called an isolated single umbilical artery. In such a case, another ultrasound is recommended in the later weeks to see if the baby is growing in proportion to their gestational age.
[ Read: Preterm Labor: Causes, Signs ]
If the ultrasound findings indicate other abnormalities, the doctor suggests an amniocentesis (a sample of amniotic fluid is tested after ten weeks for congenital abnormalities in the fetus). If the baby is born with organ dysfunction, then extra care is provided in the NICU.
What is reassuring about SUA is that most babies are born healthy. If the doctor tells you that there is no complication, then stay relaxed. However, if there are complications, you can rely on the medical advancements to have your little one safely in your hands.
Do you have any experience to share? Let us know about it in the comment section below.
- Pregnancy At Age 40 And After 40
- Signs You Are Having A Girl
- Precautions To Keep Smoking At Bay In Pregnancy
- Pregnancy At 45 Or After