Ep. 70 - Marginal cord insertion - What is the evidence for recommendations we provide?
Tue Jan 27 2026
I explain the evidence that I see on the management (recommendations) we provide for clients that have a marginal cord insertion. All the terms are defined in the episode.
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Stay connected, subscribe or follow meOn instagram: @lyanne.pintoOn spotify: https://open.spotify.com/show/1VExN1mFc5dYVk8h1LddfbOn Apple: https://podcasts.apple.com/us/podcast/from-the-heart/id1729268533 Youtube: https://www.youtube.com/@LyannePinto/videos All links: https://linktr.ee/lyannepinto Support Lyanne's Offerings: If you find value in these talks and wish to support their continuation, please consider making a donation. Your generosity helps keep these teachings available to all. Any amount is immensely appreciated. https://paypal.me/LyannePinto
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Picture of a marginal cord insertion: https://www.instagram.com/p/Cy7TPL5L2hT/?img_index=2
Picture of a velamentous cord insertion: https://www.sciencesource.com/1522924-velamentous-cord-insertion-gross-specimen-stock-image-rights-managed.html
What is in the cord (wharton jelly): https://www.google.com/imgres?imgurl=https://practicerx.designsrc.co/wp-content/uploads/2025/06/iScreen-Shoter-Google-Chrome-250408144513-768x476.jpg&tbnid=fUmZUHCAd7LiKM&vet=1&imgrefurl=https://practicerx.designsrc.co/regenerative-medicine/&docid=_tXB_bsTzmRLXM&w=768&h=476&itg=1&source=sh/x/im/m1/0&kgs=2235f5c443fa8119&shem=shrtsdl&utm_source=shrtsdl,sh/x/im/m1/0
References:
- Sonographic prenatal diagnosis of marginal placental cord insertion: clinical importance. J Ultrasound Med. 2002. https://pubmed.ncbi.nlm.nih.gov/12054298/-
Antenatal Diagnosis of Marginal and Velamentous Placental Cord Insertion and Pregnancy Outcomes. Quinn et al. 2020. 10.1097/AOG.0000000000003753
- A randomized trial of prenatal ultrasonographic screening: impact on maternal management and outcome. RADIUS (Routine Antenatal Diagnostic Imaging with Ultrasound) Study Group. Lefevre et al. 1993. 10.1016/0002-9378(93)90605-i
- Revankar KG, Dhumale H, Pujar Y. A Randomized Controlled Study to assess the Role of Routine Third Trimester Ultrasound in Low-risk Pregnancy on Antenatal Interventions and Perinatal Outcome. J South Asian Feder ObstGynae 2014;6(3):139-143. https://www.jsafog.com/doi/JSAFOG/pdf/10.5005/jp-journals-10006-1292#:~:text=Routine%20third%20trimester%20ultrasound%20seems,in%20low%2Drisk%20antenatal%20women.
- Impact of marginal cord insertion on perinatal outcomes: a systematic review and meta-analysis. Siargkas et al. 2023. https://www.ajogmfm.org/article/S2589-9333(23)00018-6/abstract
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I explain the evidence that I see on the management (recommendations) we provide for clients that have a marginal cord insertion. All the terms are defined in the episode. ________________________________ Stay connected, subscribe or follow meOn instagram: @lyanne.pintoOn spotify: https://open.spotify.com/show/1VExN1mFc5dYVk8h1LddfbOn Apple: https://podcasts.apple.com/us/podcast/from-the-heart/id1729268533 Youtube: https://www.youtube.com/@LyannePinto/videos All links: https://linktr.ee/lyannepinto Support Lyanne's Offerings: If you find value in these talks and wish to support their continuation, please consider making a donation. Your generosity helps keep these teachings available to all. Any amount is immensely appreciated. https://paypal.me/LyannePinto _________________________________ Picture of a marginal cord insertion: https://www.instagram.com/p/Cy7TPL5L2hT/?img_index=2 Picture of a velamentous cord insertion: https://www.sciencesource.com/1522924-velamentous-cord-insertion-gross-specimen-stock-image-rights-managed.html What is in the cord (wharton jelly): https://www.google.com/imgres?imgurl=https://practicerx.designsrc.co/wp-content/uploads/2025/06/iScreen-Shoter-Google-Chrome-250408144513-768x476.jpg&tbnid=fUmZUHCAd7LiKM&vet=1&imgrefurl=https://practicerx.designsrc.co/regenerative-medicine/&docid=_tXB_bsTzmRLXM&w=768&h=476&itg=1&source=sh/x/im/m1/0&kgs=2235f5c443fa8119&shem=shrtsdl&utm_source=shrtsdl,sh/x/im/m1/0 References: - Sonographic prenatal diagnosis of marginal placental cord insertion: clinical importance. J Ultrasound Med. 2002. https://pubmed.ncbi.nlm.nih.gov/12054298/- Antenatal Diagnosis of Marginal and Velamentous Placental Cord Insertion and Pregnancy Outcomes. Quinn et al. 2020. 10.1097/AOG.0000000000003753 - A randomized trial of prenatal ultrasonographic screening: impact on maternal management and outcome. RADIUS (Routine Antenatal Diagnostic Imaging with Ultrasound) Study Group. Lefevre et al. 1993. 10.1016/0002-9378(93)90605-i - Revankar KG, Dhumale H, Pujar Y. A Randomized Controlled Study to assess the Role of Routine Third Trimester Ultrasound in Low-risk Pregnancy on Antenatal Interventions and Perinatal Outcome. J South Asian Feder ObstGynae 2014;6(3):139-143. https://www.jsafog.com/doi/JSAFOG/pdf/10.5005/jp-journals-10006-1292#:~:text=Routine%20third%20trimester%20ultrasound%20seems,in%20low%2Drisk%20antenatal%20women. - Impact of marginal cord insertion on perinatal outcomes: a systematic review and meta-analysis. Siargkas et al. 2023. https://www.ajogmfm.org/article/S2589-9333(23)00018-6/abstract