PREGNANCY-BIRTH Messages for October, 1998: Re: single umbilical artery

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Re: single umbilical artery

From: Dr. (anonymous@obgyn.net)
Mon, 5 Oct 1998 16:32:30 -0500 (CDT)

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In reply to: Michael: "single umbilical artery"

At Thu, 1 Oct 1998, Michael wrote: >
>My wife had a standard ultrasound today (22.5 weeks, looks like a girl).
>Everything appeared normal (including all standard fetal size metrics)
>except that she appears to have only one umbilical artery.
>
>We could not find much information on this condition on the web with the
>exception of a few MedLine abstracts. They seem to indicate that this
>may not be a problem in the absence of any other recognized anomolies.
>Specifically, the heart and kidneys/bladder appear normal.
>

Dear Michael

I think you have found the information that there is! I am not aware of any large studies of either postnatal or antenatal finding of single UA.

It is important to check with colour flow (I find colour power angio easiest for this) whether there is a visible hypogastric artery either side of the fetal bladder or whether there is only one. There are a couple of papers in the literature which report anastomosis of two vessels inside the fetus into one in the cord.

If you ask most active midwives/obstetricians the incidental finding at birth is common and of little clinical significance. Hope it all turns out OK

-- Ross Welch Consultant in Fetomaternal medicine Duchess of Westminster Wing Arrowe Park Hospital Upton, Wirral. UK

Current president International Fetal Medicine and Surgery Society.

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