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. 2020 Apr;41(2):120-137.
doi: 10.1055/a-1079-0013. Epub 2020 Apr 7.

Abnormal Placentation and Umbilical Cord Insertion

Markus Hoopmann  1 , Karl Oliver Kagan  1
Affiliations

Abnormal Placentation and Umbilical Cord Insertion

Markus Hoopmann et al. Ultraschall Med. 2020 Apr.

Abstract
in English, German

In the last decades, abnormal placentation and umbilical cord insertion have become an increasingly relevant and feared pathology in obstetrics with increased morbidity and mortality for mother and child. In addition to several increasingly common risk factors, such as assisted reproduction, the main reason for the increased occurrence is the greater frequency of Cesarean sections. Correct diagnosis, which is primarily determined sonographically, is essential for targeted perinatal management. In particular, the diagnostic criteria and current management recommendations are described in the following article.

Störungen der Plazentation und Nabelschnurinsertion haben sich in den letzten Jahrzehnten zu einer zunehmend relevanten und gefürchteten Pathologie der Geburtshilfe mit erhöhter Morbidität und Mortalität für Mutter und Kind entwickelt. Neben einigen zunehmend häufigeren Risikofaktoren wie beispielsweise assistierte Reproduktion liegt die Hauptursache für das vermehrte Auftreten in der angestiegenen Häufigkeit der Sectio caesarea.Essenziell für ein gezieltes perinatales Management ist die korrekte Diagnosestellung, welche vorrangig sonografisch erfolgt. Im folgenden Artikel sollen insbesondere die diagnostischen Kriterien und aktuellen Managementempfehlungen vorgestellt werden.

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Conflict of interest statement

Declaration of financial interestsReceipt of research funding: no; receipt of payment/financial advantage for providing services as a lecturer: yes, from another institution (pharmaceutical or medical technology company, etc.); paid consultant/internal trainer/salaried employee: no; patent/business interest/shares (author/partner, spouse, children) in company: no; patent/business interest/shares (author/partner, spouse, children) in sponsor of this CME article or in company whose interests are affected by the CME article: no.Declaration of non-financial interestsMember of Deutsche Gesellschaft für Ultraschall in der Medizin (DEGUM), Member of the Board of DEGUM, Gynaecology and Obstetrics Section, Chairman of Arbeitsgemeinschaft für Ultraschall in Gynäkologie und Geburtshilfe (ARGUS) in DGGG, Member of DGGG, AGG and the Professional Association of Gynaecologists.

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