Abstract
The development of the umbilical cord is closely related to that of the amnion (see Chapter 7). Throughout the last days of the 2nd week p.c. the blastocystic cavity is filled by a loose meshwork of mesoderm cells, the extraembryonic mesoblast, which surrounds the embryoblast (Figure 115). The embryoblast is composed of two vesicles: the amnionic vesicle and the primary yolk sac. Where these two vesicles are in contact with each other, they form the double-layered embryonic disk. During the following days the extraembryonic mesoderm cells are rearranged in such a way that they line the inner surface of the trophoblastic shell, as chorionic mesoderm. They also cover the surface of the two embryonic vesicles (Figure 115). Between the two mesoderm layers the exocoelomic cavity forms. It largely separates the embryo and its mesodermal cover from the chorionic mesoderm. The exocoelom is bridged by the mesoderm in only one place, which lies basal to the amnionic vesicle.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Abrams, S.L., Callen, P.W., and Filly, R.A.: Umbilical vein thrombosis: sonographic detection in utero. J. Ultrasound Med. 4:283–285, 1985.
Akiyama, H., Kohzu, H., and Matsuoka, M.: An approach to detection and expulsion with new clinical sign: a study based on hemodynamic method and ultrasonography. Am. J. Obstet. Gynecol. 140:505–511, 1981.
Allen, J.R., Carrera, G.M., and Weed, J.C.: Neonatal death due to embolism. J.A.M.A. 207:756–757, 1969.
Altemani, A.M.: Thrombosis of fetal placental vessels: a quantitative study in placentas of stillbirths. Pathol. Res. Pract. 182:685–689, 1987.
Altemani, A.M., and Lopes de Faria, J.: Non-thrombotic changes of fetal placental vessels. A qualitative and quantitative study. Pathol. Res. Pract. 182:676–683, 1987.
Altshuler, G., and Hyde, S.: Meconium induced vasoconstriction: a potential cause of cerebral and other fetal hypoperfusion and of poor pregnancy outcome. Child Neurol. 4:137–142, 1989.
Altshuler, G., Tsang, R., and Ermocilla, R.: Single umbilical artery: correlation of clinical status and umbilical cord histology. Am. J. Dis. Child. 129: 697–700, 1975.
Anagnostakis, D., Kazlaris, E., Xanthou, M., and Maounis, F.: Umbilical cord entanglement: A cause of neonatal pulmonary hemorrhage?. Helv Paediatr. Acta 29:167–171, 1974.
Andrade, A.: Anatomical and radiographic study on the anastomosis and branching of the umbilical arteries in white and non-white Brazilians. Acta Anat. (Basel) 70:66–75, 1968.
Antoine, C., Young, B.K., Silverman, F., Greco, M.A., and Alvarez, S.P.: Sinusoidal fetal heart rate pattern with vasa previa in twin pregnancy. J. Reprod. Med. 27:295–300, 1982.
Arts, N.F.T.: Investigations on the vascular system of the placenta. I. General introduction and the fetal vascular system. Am. J. Obstet. Gynecol. 82:147 – 158, 1961.
Arvy, L., and Pilleri, G.: Le Cordon Ombilical. Funis Umbilicalis. Verlag Hirnanatomisches Institut, Oster-mundigen (Bern), Switzerland, 1976.
Arya, S., and Gilbert, E.F.: The short cord syndrome: pathogenetic considerations. Lab. Invest. 52: 1P, 1985 (abstract).
Asmussen, I.: Ultrastructure of human umbilical veins. Acta Obstet. Gynecol. Scand. 57:253–255, 1978.
Asmussen, I., and Kjeldsen, K.: Intimai ultrastructure of human umbilical arteries: observations on arteries from newborn children of smoking and nonsmoking mothers. Circ. Res. 36:579–589, 1975.
Bacsich, P., and Riddell, W.J.B.: Structure and nutrition of the cornea, cartilage and Wharton’s jelly. Nature 155:271, 1945.
Bacsich, P., and Smout, C.F.V.: Some observations on the foetal vessels of the human placenta with an account of the corrosion technique. J. Anat. 72:358 – 364, 1938.
Bahary, C.M., Gabbai, M., and Eckerling, B.: Rupture of the umbilical cord: report of a case. Obstet. Gynecol. 26:130–132, 1965.
Baill, I.C., Moore, G.W., and Hedrick, L.A.: Abscess of allantoic duct remnant. Am. J. Obstet. Gynecol. 161: 334–336, 1989.
Barents, J.W.: Over tumoren van de navelstreng en de placenta. Nederl. Tijdschr. Verlosk. Gynaecol. 52: 243–251, 1953.
Barron, S., Riley, E.P., Smotherman, W.P., and Kotch, L.E.: Umbilical cord length in rats is altered by prenatal alcohol exposure. Teratology 3 L49A–50A, 1985.
Barry, F.E., McCoy, C.P., and Callahan, W P.: Hemangioma of the umbilical cord. Am. J. Obstet. Gynecol. 62:675–680, 1951.
Becker, V., and Dolling, D.: Gefäßverschlüsse in der Placenta von Totgeborenen. Virchows Arch. [Pathol. Anat.] 338:305–314, 1965.
Beer, D.C.: Vasa previa: review of current concepts of management and report of a case. Obstet. Gynecol. 3:595–597, 1954.
Bell, A.D., Gerlis, L.M., and Variend, S.: Persistent right umbilical vein—case report and review of literature. Int. J. Cardiol. 10:167–176, 1986.
Bender, H.G., Werner, C., and Karsten, G.: Zum Ein-fluß der Nabelschnurstruktur auf Schwangerschaftsund Geburtsverlauf. Arch. Gynäkol. 225:347–362, 1978.
Benirschke, K.: You need a sympathetic pathologist! The borderline of embryology and pathology revisited. Teratology 36:389–393, 1987.
Benirschke, K., and Bourne, G.L.: The incidence and prognostic implication of congenital absence of one umbilical artery. Am. J. Obstet. Gynecol. 79:251 – 254, 1960.
Benirschke, K., and Brown, W.H.: A vascular anomaly of the umbilical cord: the absence of one umbilical artery in the umbilical cords of normal and abnormal fetuses. Obstet. Gynecol. 6:399–404, 1953.
Benirschke, K., and Dodds, J.P.: Angiomyxoma of the umbilical cord with atrophy of an umbilical artery. Obstet. Gynecol. 30:99–102, 1967.
Benirschke, K., and Driscoll, S.G.: The Pathology of the Human Placenta. Springer-Verlag, New York, 1967.
Benirschke, K., Sullivan, M.M., and Marin-Padilla, M.: Size and number of umbilical vessels: a study of multiple pregnancy in man and the armadillo. Obstet. Gynecol. 24:819–834, 1964.
Bergman, P., Lundin, P., and Malmström, T.: Mucoid degeneration of Wharton’s jelly: an umbilical cord anomaly threatening foetal life. Acta Obstet. Gynecol. Scand. 40:372–378, 1961.
Bergström, H.: Intrauterin fosterdöd genom förblöd-ning. Nord. Med. 4:592–593, 1963.
Bhargava, I., and Raja, P.T.K.: Arteriovenous crossings on the chorial surface of the human placenta in abnormal pregnancy and development. Experientia 25: 831–832, 1969.
Bhargava, I., Chakravarty, A., and Raja, P.T.K.: Anatomy of foetal blood vessels on the chorial surface of the human placenta. IV. With absence of one umbilical artery. Acta Anat. (Basel) 80:620–635, 1971.
Bilek, K., Roth, K., and Piskazeck, K.: Insertio-vela-mentosa-Blutung vor dem Blasensprung. Zentralbl. Gynäkol. 84:1536–1541, 1962.
Blackburn, W., Cooley, N.R., and Manci, E.A.: Correlations between umbilical cord structure-composition and normal and abnormal fetal development. In, Proceedings of the Greenwood Genetics Conference Vol. 7. R.A. Saul, ed., pp. 180–181. Jacobs Press, Clinton, S.C., 1988.
Blanc, W.A., and Allan, G.W.: Intrafunicular ulceration of persistent omphalomesenteric duct with intraamniotic hemorrhage and fetal death. Am. J. Obstet. Gynecol. 82:1392–1396, 1961.
Bobitt, J.R.: Abnormal antepartum fetal heart rate tracings, failure to intervene, and fetal death: review of five cases reveals potential pitfalls of antepartum monitoring programs. Am. J. Obstet. Gynecol. 133: 415–421, 1979.
Bourne, G.L.: The Human Amnion and Chorion. Lloyd-Luke, London, 1962.
Boyd, J.D., and Hamilton, W.J.: The Human Placenta. W. Heffer & Sons, Cambridge, 1970.
Brady, A.G.: Knotted umbilical cord as a cause of death in a Cercopithecus aethiops fetus. Lab. Anim. Sci. 33: 375–376, 1983.
Brant, H.A., and Lewis, B.V.: Prolapse of the umbilical cord. Lancet 2:1443–1445, 1966.
Brar, H.S., Medearis, A.L., Dévore, G.R., and Piatt, L.D.: Maternal and fetal blood flow velocity waveforms in patients with preterm labor: effect of tocolytics. Obstet. Gynecol. 72:209–214, 1988.
Bret, A.J., and Bardiaux, M.: Hématome du cordon. Rev. Fr. Gynécol. Obstét. 55:240–249, 1956.
Broome, D.L., Kellogg, B., Weiss, B.A., and Wilson, M.G.: Needle puncture of the fetus during amniocentesis. Lancet 2:604, 1975.
Broome, D.L., Wilson, M.G., Weiss, B., and Kellogg, B.: Needle puncture of the fetus: a complication of second-trimester amniocentesis. Am. J. Obstet. Gynecol. 126:247–252, 1976.
Browne, F.J.: On the abnormalities of the umbilical cord which may cause antenatal death. J. Obstet. Gynaecol. Bit. Emp. 32:17–48, 1925.C
Busacca, M., Dejana, E., Balconi, G., Olivieri, S., Pietra, A., Vergara-Dauden, M., and de Gaetano, G.: Reduced prostacyclin production by cultured endothelial cells from umbilical arteries of babies born to women who smoke. Lancet 2:609–610, 1982.
Camilleri, A.P.: Umbilical cord. Bit. Med. J. 2:757, 1964.
Carp, H.J.A., Mashiach, S., and Serr, D.M.: Vasa previa: a major complication and its management. Obstet. Gynecol. 53:273–275, 1979.
Chantier, C., Baum, J.D., and Scopes, J.W.: Giant umbilical cord associated with a patent urachus and fused umbilical arteries. J. Obstet. Gynaecol. Bit. Com-monw. 76:273–274, 1969.
Chasnoff, I.J., and Fletcher, M.A.: True knot of the umbilical cord. Am. J. Obstet. Gynecol. 127:425–427, 1977.
Chaurasia, B.D., and Agarwal, B.M.: Helical structure of the umbilical cord. Acta Anat. (Basel) 103:226–230, 1979.
Clapp, J.F., Peress, N.S., Wesley, M., and Mann, L.I.: Brain damage after intermittent partial cord occlusion in the chronically instrumented fetal lamb. Am. J. Obstet. Gynecol. 159:504–509, 1988.
Clare, N.M., Hayashi, R., and Khodr, G.: Intrauterine death from umbilical cord hematoma. Arch. Pathol. Lab. Med. 103:46–47, 1979.
Clarke, J.A.: An X-ray microscopic study of the vasa vasorum of the human umbilical arteries. Z. Zell-forsch. 66:293–299, 1965.
Colgan, T.J., and Luk, S.C.: Umbilical-cord torsion, thrombosis, and intrauterine death of a twin. Arch. Pathol. Lab. Med. 106:101, 1982.
Cook, F.G., Taylor, R., and Gillan, I.E.: Placental venous thrombosis—A clinically significant finding in intrauterine death. Lab. Invest. 56: 1P, 1987.
Corkill, T.F.: The infant’s vulnerable life-line. Aust. N.Z. J. Obstet. Gynaecol. 1:154–160, 1961.
Corridan, M., Kendall, E.D., and Begg, J.D.: Cord entanglement causing premature separation and amniotic fluid embolism: case report. Bit. J. Obstet. Gynaecol. 87:935–940, 1980.
Coulter, J.B.S., Scott, J.M., and Jordan, M.M.: Oedema of the umbilical cord and respiratory distress in the newborn. Bit. J. Obstet. Gynaecol. 82:453–459, 1975.
Crawford, J.M.: A study of human placental growth with observations on the placenta in erythroblastosis foetalis. J. Obstet. Gynaecol. Bit. Emp. 66:885–896, 1959.
Crawford, J.S.: Cord round the neck: incidence and sequelae. Acta Paediatr. (Stockh.) 51:594–603, 1962.
Crawford, J.S. Cord around the neck: Further analysis of incidence. Acta Paediatr. (Stockh.) 53:553 – 557, 1964.
Crichton, J.L. Tensile strength of the umbilical cord. Am. J. Obstet. Gynecol. 115:77–80, 1973.
Cullen, T.S.: Embryology, Anatomy, and Disease of the Umbilicus Together with Diseases of the Urachus. Saunders, Philadelphia, 1916.
Dadak, C., Kefalides, A., Sinzinger, H., and Weber, G.: Reduced umbilical artery prostacyclin formation in complicated pregnancies. Am. J. Obstet. Gynecol. 144:792–795, 1982.
Davignon, J. Lorenz, R.R., and Shepherd, J.T.: Response of human umbilical artery to changes in transmural pressure. Am. J. Physiol. 209:51–59, 1965.
De Sa, D.J.: Rupture of fetal vessels on placental surface. Arch. Dis. Child. 46:495–501, 1971.
De Sa, D.J.: Diseases of the umbilical cord. In, Pathology of the Placenta. E.V.D.K. Perrin, ed. Churchill Livingstone, New York, 1984.
De Sa, M.E., and Meirelles, R.S.: Vasodilating effect of estrogen on the human umbilical artery. Gynecol. Invest. 8:307–313, 1977.
Dévore, G.R., Mayden, K., Tortora, M., Berkowitz, R.L., and Hobbins, J.C.: Dilation of the umbilical vein in rhesus hemolytic anemia: a predictor of severe disease. Am. J. Obstet. Gynecol. 141:464–466, 1981.
Didolkar, S.M., Hal, J., Phelan, J., Gutberlett, R., and Hill, J.L.: The prenatal diagnosis and management of a hepatoomphalocele. Am. J. Obstet. Gynecol. 141: 221–222, 1981.
Dillon, W.P., and O’Leary, L.A.: Detection of fetal cord compromise secondary to umbilical cord hematoma with the nonstress test. Am. J. Obstet. Gynecol. 141: 102–1103, 1981.
Dippel, A.L.: Hematomas of the umbilical cord. Surg. Gynecol. Obstet. 70:51–57, 1940.
Dippel, A.L.: Maligned umbilical cord entanglements. Am. J. Obstet. Gynecol. 88:1012–1018, 1964.
Di Terlizzi, G., and Rossi, G.F.: Studio clinico-statistico sulle anomalie del funiculo. Ann. Obstet. Ginecol. 77:459–474, 1955. [cf. Fox, 1978.]
Dolff, M.: Die sogenannten Rekanalisationen der Stammzottengefaße bei Endarteritis obliterans der Plazentagefaße. Arch. Gynecol. 226:325–332, 1978.
Dombrowski, M.P., Budev, H., Wolfe, H.M., Sokol, R.J., and Perrin, E.: Fetal hemorrhage from umbilical cord hemangioma. Obstet. Gynecol. 70:439–442, 1987.
Doshi, N., and Klionsky, B.: Pathology of disseminated intravascular coagulation in the newborn. Lab. Invest. 40:303, 1979.
Dunn, P.M., Fraser, I.D., and Raper, A.B.: Influence of early cord ligation on the transplacental passage of foetal cells. J. Obstet. Gynaecol. Bit. Commonw. 73:757–760, 1966.
Dyer, D.C.: Comparison of the constricting actions produced by serotonin and prostaglandins on isolated sheep umbilical arteries and veins. Gynecol. Invest. 1:204–209, 1970.
Earn, A.A.: The effect of congenital abnormalities of the umbilical cord and placenta on the newborn and mother: a survey of 5676 consecutive deliveries. J. Obstet. Gynaecol. Bit. Emp. 58:456–459, 1951.
Eastman, N.J.: Editorial comments. S.G.O. 22:16,1967.
Eastman, N.J., and Hellman, L.M., eds.: Williams Obstetrics 12th ed. Appleton, New York, 1961.
Editorial: Closure of umbilical blood-vessels. Lancet 2:381, 1966.
Edmonds, H.W.: The spiral twist of the normal umbilical cord in twins and in singletons. Am. J. Obstet. Gynecol. 67:102–120, 1954.
Eggens, J.H., and Bruins, H.W.: An unusual case of fetal distress. Am. I Obstet. Gynecol. 148:219–220,1984.
Ellison, J.P.: The nerves of the umbilical cord in man and the rat. Am. J. Anat. 132:53–60, 1971.
Ente, G., Penzer, P.H., and Kenigsberg, K.: Giant umbilical cord associated with patent urachus. Am. J. Dis. Child. 120:82–83, 1970.
Feinstein, S.J., Lodeiro, J.G., Vintzileos, A.M., Wein-baum, P.J., Campbell, W.A., and Nochimson, D.J.: Intrapartum ultrasound diagnosis of nuchal cord as a decisive factor in management. Am. J. Obstet. Gynecol. 153:308–309, 1985.
Ferrazzi, E., Brambati, B. Lanzani, A., Oldrini, A., Stripparo, L., Guerneri, A., and Makowski, E.L.: The yolk sac in early pregnancy failure. Am. J. Obstet. Gynecol. 158:137–142, 1988.
Fisk, N.M., Maclachlan, N., Ellis, G., Tannirandorn, Y., Tonge, H.M., and Rodeck, C.H.: Absent end-diastolic flow in first trimester umbilical artery. Lancet 2:1256–1257, 1988.
Foldes, J.J.: Spontaneous intrauterine rupture of the umbilical cord: report of a case. Obstet. Gynecol. 9:608–609, 1957.
Fortune, D.W., and Östör, A.G.: Umbilical artery aneurysm. Am. J. Obstet. Gynecol. 131:339–340, 1978.
Fortune, D.W., and Östör, A. G.: Angiomyxomas of the umbilical cord. Obstet. Gynecol. 55:375–378, 1980.
Fox, H.: Thrombosis of foetal arteries in the human placenta. J. Obstet. Gynaecol. Bit. Commonw. 73: 961–965, 1966.
Fox, H.: Abnormalities of the foetal stem arteries in the human placenta. J. Obstet. Gynaecol. Brt. Commonw. 74:734–738, 1967a.
Fox, H. The incidence and significance of nucleated erythrocytes in the foetal vessels of the mature human placenta. J. Obstet. Gynaecol. Brt. Commonw. 74: 40–43, 1967b.
Fox, H.: Pathology of the Placenta. Saunders, London, 1978.
Fox, H., and Jacobson, H.N.: Innervation of the human umbilical cord and umbilical vessels. Am. J. Obstet. Gynecol. 103:384–389, 1969.
Fribourg, S.: Cord length and complications. Obstet. Gynecol. 58:533, 1981.
Froehlich, L.A., and Fujikura, T.: Significance of a single umbilical artery: report from the collaborative study of cerebral palsy. Am. J. Obstet. Gynecol. 94: 274–279, 1966.
Fujikura, T., and Benson, R.C.: Placentitis and fibrous occlusion of fetal vessels in the placenta of stillborn infants. Am. J. Obstet. Gynecol. 89:225–229, 1964.
Fujikura, T., and Carleton, J. H.: Unilateral thickening of fetal arteries on the placenta resembling arteriosclerosis. Am. J. Obstet. Gynecol. 100:843–845, 1968.
Fujinaga, M., Chinn, A., and Shepard, T.H.: Umbilical cord growth in human and rat fetuses: Evidence against the “stretch hypothesis.” Teratology. 41:333–339, 1990.
Gad, C.: A case of haemorrhage in labour from a placental vessel causing foetal death. Acta Obstet. Gynecol. Scand. 47:342–344, 1968.
Galle, P.C., and Meis, P.J.: Complications of amniocentesis: a review. J. Reprod. Med. 27:149–155, 1982.
Gardiner, J.P.: The umbilical cord: normal length; Length in cord complications; etiology and frequency of coiling. Surg. Gynecol. Obstet. 34:252–256, 1922.
Gardner, R.F.R., and Trussell, R.R.: Ruptured hematoma of the umbilical cord. Obstet. Gynecol. 24:791–793, 1964.
Gassner, C.B., and Paul, R.H.: Laceration of umbilical cord vessels secondary to amniocentesis. Obstet. Gynecol. 48:627–630, 1976.
Gerlach, H.: Kongenitales Nabelarterienaneurysma. Z. Allg. Pathol. 111:420–423, 1968.
Ghosh, K.G., Ghosh, S.N., and Gupta, A.B.: Tensile properties of human umbilical cord. Indian J. Med. Res. 79:538–541, 1984.
Giacomello, F.: Ultrasound determination of nuchal cord in breech presentation. Am. J. Obstet. Gynecol. 159:531–532, 1988.
Gianopoulos, J., Carver, T., Tomich, P.G., Karlman, R., and Gadwood, K.: Diagnosis of vasa previa with ultrasonography. Obstet. Gynecol. 69:488–491, 1987.
Gilbert, E.: The short cord syndrome. Pediatr. Pathol. 5:96, 1986.
Glanfield, P.A., and Watson, R.: Intrauterine death due to umbilical cord torsion. Arch. Pathol. Lab. Med. 110:357–358, 1986.
Goerttler, K.: Die Bedeutung der funktionellen Struktur der Gefäßwand. I. Untersuchungen an der Nabelschnurarterie des Menschen. Gegenbaurs Morphol. Jahrb. 91:368–393, 1951.
Golden, A.S.: Umbilical cord-Placental separation: a complication of IUD failure. J. Reprod. Med. 11: 79–80,1973.
Gonzalez-Crussi, F., and Roth, L.M.: The human yolk sac and yolk sac carcinoma. Hum. Pathol. 7:675–691, 1976.
Goodlin, R.C.: Fetal dysmaturity, “lean cord,” and fetal distress. Am. J. Obstet. Gynecol. 156:1357, 1987.
Goodlin, R.C., and Clewell, W.H.: Sudden fetal death following amniocentesis. Am. J. Obstet. Gynecol. 118:285–288, 1974.
Grange, K., Arya, S., Opitz, J., Laxova, R., Herrmann, J., and Grieco, A.: Rilievi clinico-statistici sulla inserzione velamentosa ed a racchetta del cordone ombellicale. Monk. Obstet. Ginecol. Endocrinol. Metab. 8:89–102, 1936. [cf. Fox, 1978.]
Graumann, W.: Polysaccharide. Ergebnisse der Polysac-charidhistochemie: Mensch und Säugetier. In, Handbuch der Histochemie, Vol. II/2. W. Graumann and K. Neumann, eds. Fischer, Stuttgart, 1964.
Grosser, O.: Frühentwicklung, Eihautbildung und Placentation des Menschen und der Säugetiere. J.F. Bergmann, München, 1927.
Gruber, F.H.: Gas in the umbilical vessels as a sign of fetal death. Radiology 89:881–882, 1967.
Gruenwald, P.: The amount of fetal blood remaining in the placenta at birth. Proc. Soc. Exp. Biol. Med. 130:326–329, 1969.
Guidetti, A.A., Divon, M.Y., Cavaleri, R.L., Langer, O., and Merkatz, LR.: Fetal umbilical artery flow velocimetry in postdate pregnancies. Am. J. Obstet. Gynecol. 157:1521–1523, 1987.
Harold, J.G., Siegel, R.J., Fitzgerald, G.A., Satoh, P., and Fishbein, M.C.: Differential prostaglandin production by human umbilical vasculature. Arch. Pathol. Lab. Med. 112:43–46, 1988.
Harris, L.E., and Wenzl, J.E.: Heterotopic pancreatic tissue and intestinal mucosa in the umbilical cord. N. Engl. J. Med. 268:721–722, 1963.
Hathout, H.: The vascular pattern and mode of insertion of the umbilical cord in abortion material. J. Obstet. Gynaecol. Bit. Commonw. 71:963–964, 1964.
Heckmann, U., Cornelius, H.V., and Freudenberg, V.: Das Teratom der Nabelschnur. Ein kasuistischer Beitrag zu den echten Tumoren der Nabelschnur. Geburtshilfe Frauenheilk. 32:605–607, 1972.
Heifetz, S.A.: Single umbilical artery: a statistical analysis of 237 autopsy cases and review of the literature. Perspect. Pediatr. Pathol. 8:345–378, 1984.
Heifetz, S.A.: Thrombosis of the umbilical cord: Analysis of 52 cases and literature review. Pediatr. Pathol. 8:37–54, 1988.
Heifetz, S.A., and Rueda-Pedraza, M.E.: Omphalomesenteric duct cysts of the umbilical cord. Pediatr. Pathol. 1:325–335, 1983a.
Heifetz, S.A., and Rueda-Pedraza, M.E.: Hemangiomas of the umbilical cord. Pediatr. Pathol. 1:385–398, 1983b.
Hempel, E.: Die ultrastrukturelle Differenzierung des menschlichen Amnionepithels unter besonderer Berücksichtigung des Nabelstrangs. Anat. Anz. 132: 356–370, 1972.
Herberz, O.: Über die Insertio furcata funiculi umbilicalis. Acta Obstet. Gynecol. Scand. 18:336–351, 1938.
Herrmann, U.J., and Sidiropoulos, D.: Single umbilical artery: prenatal findings. Prenat. Diagn. 8:275–280, 1988.
Hersh, J., and Buchino, J.J.: Umbilical cord torsion/constriction sequence. In, Proceedings of the Greenwood Genetics Conference Vol. 7. R.A. Saul, ed., pp. 181–182, Jacobs Press, Clinton, S.C., 1988.
Hertig, A.T.: The placenta: Some new knowledge about an old organ. Obstet. Gynecol. 20:859–866, 1962.
Hertig, A.T.: Human Trophoblast. Charles C Thomas, Springfield, II., 1968.
Hoag, R.W.: Fetomaternal hemorrhage associated with umbilical vein thrombosis. Am. J. Obstet. Gynecol. 154:1271–1274, 1986.
Hobel, C.J., Emmanouilides, G.C., Townsend, D.E., and Yashiro, K.: Ligation of one umbilical artery in the fetal lamb: experimental production of fetal malnutrition. Obstet. Gynecol. 36:582–588, 1970.
Hoboken, W.: Anatomia secundinae. Ribbium, Ultrajecti, 1669.
Horwitz, S.T., Finn, W.F., and Mastrota, V.F.: A study of umbilical cord encirclement. Am. J. Obstet. Gynecol. 89:970–974, 1964.
Howorka, E., and Kapczynski, W.: Unusual thickness of the fetal end of the umbilical cord. J. Obstet. Gynaecol. Bit. Commonw. 78: 283, 1971.
Hoyes, A.D.: Ultrastructure of the epithelium of the human umbilical cord. J. Anat. 105:149–162, 1969.
Hoyme, H.E., Jones, K.L., Allen, M.I.V., Saunders, B.S., and Benirschke, K.: Vascular pathogenesis of transverse limb reduction defects. J. Pediatr. 101: 839–843, 1982.
Hyrtl, J.: Die Blutgefäße der menschlichen Nachgeburt in normalen und abnormen Verhältnissen. Braumüller, Wien, 1870.
Irani, P.K.: Haematoma of the umbilical cord. Bit. Med. J. ii: 1436–1437, 1964.
Ivemark, B.I., Lagergren, C., and Ljungqvist, A.: Generalized arterial calcification associated with hydramnios in two stillborn infants. Acta Paediatr. [Suppl.] (Stockh.) 135:103–110, 1962.
James, J.D., and Nickerson, C.W.: Laceration of umbilical artery and abruptio placentae secondary to amniocentesis. Obstet. Gynecol. 48s:44s-45s, 1976.
Janosco, E.O., Lona, J.Z., and Belin, R.P.: Congenital anomalies of the umbilicus. Am. Surg. 43:177–185, 1977.
Jauniaux, E., Donner, G., Simon, P., Vanesse, M., Hustin, J., and Rodesch, F.: Pathological aspects of the umbilical cord after percutaneous umbilical blood sampling. Obstet. Gynecol. 73:215–218, 1989.
Javert, C.T., and Barton, B.: Congenital and acquired lesions of the umbilical cord and spontaneous abortion. Am. J. Obstet. Gynecol. 63:1065–1077, 1952.
Jogee, M., Myatt, L., and Elder, M.G.: Decreased prostacyclin production by placental cells in culture from pregnancies complicated by fetal growth retardation. Bit. J. Obstet. Gynaecol. 90:247–250, 1983.
Jones, K.P., Wheater, A.W., and Musgrave, W.: Simple test for bleeding from vasa previa. Lancet 2:1430–1431, 1987.
Kan, P.S., and Eastman, N.J.: Coiling of the umbilical cord around the foetal neck. J. Obstet. Gynaecol. Bit. Emp. 64:227–228, 1957.
Kaplan, G., August, D., and Mizrachi, H.: Single umbilical artery and cord accidents. Modern Pathol. 3(1):4P (Abstract No. 17), 1990.
Katz, V., Blanchard, G., Dingman, G., Bowes, W.A., and Cefalo, R.G.: Atenolol and short umbilical cords. Am. J. Obstet. Gynecol. 156:1271–1272, 1987.
Katz, Z., Shosham, Z., Lancet, M., Blickstein, I., Mogilner, B.M., and Zalel, Y.: Management of labor with umbilical cord prolapse: a 5-year study. Obstet. Gynecol. 72:278–280, 1988.
Kelber, R.: Gespaltene “solitäre” Nabelschnurarterie. Arch. Gynäkol. 220:319–323, 1976.
Kernbach, M.: Das neuroektoblastische System der Plazenta des Menschen. Anat. Anz. 113:259–269, 1963.
Kernbach, M.: Existe-t-il du tissu nerveux dans le placenta? Rev. Fr. Gynécol. 64:357–361, 1969.
Kessler, A.: Blutungen aus den Nabelschnurgefassen in der Schwangerschaft. Gynaecologia 150:353–365, 1960
Khong, T.Y., and Dilly, S.A.: Calcification of umbilical artery: two distinct lesions. J. Clin. Pathol. 42:931–934, 1989.
King, D.L.: Placental migration demonstrated by ultrasonography: a hypothesis of dynamic placenta-tion. Radiology 109:167–170, 1973.
King, E.L.: Intrauterine death of the fetus due to abnormalities of the umbilical cord: report of three cases. Am. J. Obstet. Gynecol. 12:812–816, 1926.
King, S.: Patent omphalomesenteric duct. Arch. Surg. 96:545–548, 1968.
Kishore, N., and Sarkar, S.C.: The arterial patterns of placenta. A postpartum radiological study. J. Obstet. Gynaecol. India 17:9–13, 1967.
Kjeldsen, J., and Pedersen, J.: Relation of residual placental blood-volume to onset of respiration and the respiratory-distress syndrome in infants of diabetic and non-diabetic mothers. Lancet 1:180–184, 1967.
Klebe, J.G., and Ingomar, C.J. Placental transfusion in infants of diabetic mothers elucidated by placental residual blood volume. Acta Paediatr. (Stockh.) 63:59–64,1974. The influence of the method of delivery and the clamping technique on the red cell volume in infants of diabetic and non-diabetic mothers. Acta Paediatr. (Stockh.) 63:65–69, 1974.
Kouyoumdjian, A.: Velamentous insertion of the umbilical cord. Obstet. Gynecol. 56:737–742, 1980.
Kreibich, Dr.: Über eine grosse Urachuscyste bei einer 80 jährigen Frau. Zentralbl. Gynäkol. 69:523–528, 1947.
Kreyberg, L.: A teratoma-like swelling in the umbilical cord possibly of acardiac nature. J. Pathol. Bacteriol. 75:109–112, 1958.
Kristiansen, F.V., and Nielsen, V.T.: Intra-uterine fetal death and thrombosis of the umbilical vessels. Acta Obstet. Gynecol. Scand. 64:331–334, 1985.
Krone, H.-A.: Die Bedeutung der Nidationsstörungen fur die Pathologie der Embryonalentwicklung. Bibl. Microbiol. Fase. 1:111–116, 1960 (Wiener Collo-qium: Pränatale Infektionen, 1959).
Krone, H.-A.: Die Bedeutung der Plazenta für die Entstehung von Mibildungen. Wien. Med. Wochenschr. 117:393–397, 1967.
Krone, H.A., Jopp, H., and Scheuerer, W.: Die Bedeutung anamnestischer Befunde für die verschiedenen Formen des Nabelschnuransatzes. Z. Geburtshilfe Gynäkol. 163:205–213, 1965.
Labarrere, G., Sebastiani, M., Siminovich, M., Torassa, E., and Althabe, O.: Absence of Wharton’s jelly around the umbilical arteries: an unusual cause of perinatal mortality. Placenta 6:555–559, 1985.
Lachenmayer, L.: Adrenergic innervation of the umbilical vessels: light- and fluorescence microscopic studies. Z. Zeilforsch. 120:120–136, 1971.
Lacro, R.V., Jones, K.L., and Benirschke, K.: The umbilical cord twist: origin, direction, and relevance. Am. J. Obstet. Gynecol. 157:833–838, 1987.
Lange, L.R., Manning, F.A., Morrison, I., Chamberlain, P.F., and Harman, C.R.: Cord prolapse: is antenatal diagnosis possible. Am. J. Obstet. Gynecol. 151:1083–1085, 1985.
Lauweryns, J.M., deBruyn, M., Peuskens, J., and Bourgeois, N.: Absence of intrinsic innervation of the human placenta. Experientia 25:432, 1969.
LeDonne, A.T., and McGowan, L.: Effect of an oxytocic on umbilical cord venous pressure. Obstet. Gynecol. 30:103–107, 1967.
Lee, M.C.L., and Aterman, K.: An intestinal polyp of the umbilical cord. Am. J. Dis. Child. 116:320–323, 1968.
Lee, S.T., and Hon, E.H.: Fetal hemodynamic response to umbilical cord compression. Obstet. Gynecol. 22:553–562, 1963.
Leff, M.: Hemorrhage from a ruptured varicosity in the placenta causing the death of the fetus. Am. J. Obstet. Gynecol. 22:117–118, 1931.
Lehman, R.E.: Umbilical cord prolapse following external cephalic version with tocolysis. Am. J. Obstet. Gynecol. 146:963–964, 1983.
Leinzinger, E.: Varixthrombose der Nabelschnur. Z. Geburtshilfe Gynäkol. 171:82–87, 1969.
Leinzinger, E.: Totaler Nabelschnurabriss intra partum bei Hydramnion. Zentralbl. Gynäkol. 94:1233–1238, 1972.
Lemtis, H.: Über eine seltene Nabelschnurmißbildung. Geburtshilfe Frauenheilk. 26:986–993, 1966.
Lemtis, H.: Über Aneurysmen im fetalen Gefäßapparat der menschlichen Plazenta. Arch. Gynäkol. 206: 330–347, 1968.
Lenke, R.R., Ashwood, E.R., Cyr, D.R., Grave, M., Smith, J.R., and Stenchever, M. A.: Genetic amniocentesis: significance of intraamniotic bleeding and placental location. Obstet. Gynecol. 65:798–801,1985.
Leu, A.J., and Leu, H.J.: Spezielle Probleme bei der histologischen Altersbestimmung von Thromben und Emboli. Pathologe 10:87–92, 1989.
Leung, A.K.C., and Robson, W.L.M.: Single umbilical artery: a report of 159 cases Am. J. Dis. Child. 143: 108–111, 1989.
Levy, H., Meier, P.R., and Makowski, E.L.: Umbilical cord prolapse. Obstet. Gynecol. 64:499–502, 1984.
Loquet, P., Broughton-Pipkin, F., Symonds, E.M., and Rubin, P.C.: Blood velocity waveforms and placental vascular formation. Lancet 2:1252–1253, 1988.
Ludwig, K.: Ein weiterer Beitrag zum Bau der Gorilla-Placenta. Acta Anat. (Basel) 46:304–310, 1961.
Mäkilä, U.M., Jouppila, P., Kirkinen, P., Viinikka, L., and Ylikorkala, O.: Relation between umbilical prostacyclin production and blood-flow in the fetus. Lancet 1:728–729, 1983.
Malpas, P.: Length of the umbilical cord at term. Bit. Med. J. 1:673–674, 1964.
Malpas, P., and Symonds, E.M.: Observations on the structure of the human umbilical cord. Surg. Obstet. Gynecol. 123:746–750, 1966.
Marchetti, A.A.: A consideration of certain types of benign tumors of the placenta. Surg. Gynecol. Obstet. 68:733–743, 1939.
Marcianiak, E., Wilson, H.D., and Marlar, R.A.: Neonatal purpura fulminans: a genetic disorder related to the absence of protein C in blood. Blood 65:15–20, 1985.
Marco-Johnson, M.J., Marlar, R.A., Jacobson, L.J., Hays, T., and Warady, B.A.: Severe protein C deficiency in newborn infants. J. Pediatr. 113:359–363, 1988
Matheus, M., and Sala, M.A.: The importance of placental examination in newborns with single umbilical artery. Z. Geburtshilfe Perinatol. 184:231–232, 1980.
McCowan, L.M., Mullen, B.M., and Ritchie, K.: Umbilical artery flow velocity waveforms and the placental vascular bed. Am. J. Obstet. Gynecol. 157: 900–902, 1987.
McCoshen, J.A., Tulloch, H.V., and Johnson, K.A.: Umbilical cord is the major source of prostaglandin E2 in the gestational sac during term labor. Am. J. Obstet. Gynecol. 160:873–978, 1989.
McKay, D.G., Roby, C.C., Hertig, A.T., and Richardson, M.V.: Studies of the function of early human trophoblast. II. Preliminary observations on certain chemical constituents of chorionic and early amniotic fluid. Am. J. Obstet. Gynecol. 69:735–741, 1955.
McLennan, J.E.: Implications of the eccentricity of the human umbilical cord. Am. J. Obstet. Gynecol. 101: 1124–1130, 1968.
McLennan, H., Price, E., Urbanska, M., Craig, N., and Fraser, M.: Umbilical cord knots and encirclements. Aust. N.Z. J. Obstet. Gynaecol. 28:116–119, 1988.
Merttens, J.: Beiträge zur normalen und pathologischen Anatomie der menschlichen Placenta. Z. Geburtshilfe Gynäkol. 30:1–97, 1894.
Messer, R.H., Gomez, A.R., and Yambao, T.J.: Antepartum testing for vasa previa: Current standard of care. Am. J. Obstet. Gynecol. 156:1459–1462, 1987.
Meyenburg, M.: Gibt es Veränderungen des Plazentasitzes im Bereich kaudaler Uterusabschnitte während der Schwangerschaft? Eine echographische Verlaufsstudie. Geburtshilfe Frauenheilk. 36:715–721, 1976.
Meyer, A.W.: On the structure of the human umbilical vesicle. Am. J. Anat. 3:155–166, 1904.
Miller, M.E., Higginbottom, M., and Smith, D.A.: Short umbilical cord: its origin and relevance. Pediatrics 67:618–621, 1981.
Mishriki, Y.Y., Vanyshelbaum, Y., Epstein, H., and Blanc, W.: Hemangioma of the umbilical cord. Pediatr. Pathol. 7:43–49, 1987.
Mitchell, A.P.B., Anderson, G.S., and Russell, J.K.: Perinatal death from foetal exsanguination. Bit. Med. J. 1:611–614, 1957.
Mochizuki, M., Maruo, T., Masuko, K. and Ohtsu, T.: Effects of smoking on fetoplacental-maternal system during pregnancy. Am. J. Obstet. Gynecol. 149:413–420, 1984.
Moessinger, A.C., Blanc, W.A., Marone, P.A. and Polsen, D.C.: Umbilical cord length as an index of fetal activity: experimental study and clinical implications. Pediatr. Res. 16:109–112, 1982.
Moessinger, A.C., Mills, J.L., Harley, E.E., Ramakrishnan, R., Berendes, H.W., and Blanc, W.A.: Umbilical cord length in Down’s syndrome. Am. J. Dis. Child. 140:1276–1277, 1986.
Moise, K.J., Carpenter, R.J., Huhta, J.C., and Deter, R.L.: Umbilical cord hematoma secondary to in utero intravascular transfusion for Rh isoimmunization. Fetal Ther. 2:65–70, 1987.
Moncrieff, D., Parker-Williams, J., and Chamberlain, G.: Placental drainage and fetomaternal transfusion. Lancet 2:453, 1986.
Monie, I.W.: Velamentous insertion of cord in early pregnancy. Am. J. Obstet. Gynecol. 93:276–281, 1965.
Monie, I.W., and Khemmani, M.: Absent and abnormal umbilical arteries. Teratology 7:135–142, 1973
Moore, R.D.: Mast cells of the human umbilical cord. Am. J. Pathol. 32:1179–1183, 1956.
Murdoch, D.E.: Umbilical-cord doubling. Obstet. Gynecol. 27: 555–557, 1966.
Naaktgeboren, G., and van Wagtendonk, A.M.: Wahre Knoten in der Nabelschnur nebst Bemerkungen über Plazentophagie bei Menschenaffen. Z. Säugetierk. 31:376–382, 1966.
Nadkarni, B.B.: Innervation of the human umbilical artery: an electron-microscope study. Am. J. Obstet. Gynecol. 107:303–312, 1970.
Naeye, R.L.: Umbilical cord length: clinical significance. J. Pediatr. 107:278–281, 1985.
Naeye, R.L., and Tafari, N.: Noninfectious disorders of the placenta, fetal membranes and umbilical cord. In, Risk Factors in Pregnancy and Disease of the Fetus and Newborn. Williams and Wilkins, Baltimore, pp. 145–172, 1983.
Newton, M., and Moody, A.R.: Fetal and maternal blood in the human placenta. Obstet. Gynecol. 18: 305–308, 1961.
Nieder, J., and Link, M.: Ein Beitrag zur Pathologie der Nabelschnurgeschwülste. Z. Gynäkol. 92:420–428, 1970.
Nielsen, T.P., Nelson, R.M., Lee-Green, B., Lowe, P.N., and Reese, L.A.: Patent urachus complicating pregnancy: a review and report of a case. Am. J. Obstet. Gynecol. 143:61–68, 1982.
Nikolov, S.D., and Schiebler, T.H.: Über das fetale Gefäßsystem der reifen menschlichen Placenta. Z. Zellforsch. 139:333–350, 1973.
Nöldeke, H.: Geburtskomplikationen bei Insertio velamentosa. Zentralbl. Gynäkol. 58:351–356, 1934.
Novack, A.H., Mueller, B., and Ochs, H.: Umbilical cord separation in the newborn. Amer J. Dis. Child. 142:220–223, 1988.
Obolensky, W.: Durch Blasensprung bedingte Blutung aus dem Fötalkreislauf, ihre Erkennung und Verhütung. Gynaecologia 164:279–282, 1967.
Ornoy, A., Crone, K., and Altshuler, G.: Pathological features of the placenta in fetal death. Arch. Pathol. Lab. Med. 100:367–371, 1976.
Otto, A.W.: Lehrbuch der pathologischen Anatomie des Menschen und der Thiere. Ruecker, Berlin, 1830.
Ottow, B.: Interpositio velamentosa funiculi umbilicalis, eine bisher übersehene Nabelstranganomalie, ihre Entstehung und klinische Bedeutung. Arch. Gynäkol. 116:176–199, 1922.
Ottow, B.: Über die Insertio furcata der Nabelschnur. Arch. Gynäkol. 118:378–382, 1923.
Oudesluys-Murphy, A.M., Eilers, G.A.M., and deGroot, C.J.: The time of separation of the umbilical cord. Eur. J. Pediatr. 146:387–389, 1987.
Painter, D., and Russell, P.: Four-vessel umbilical cord associated with multiple congenital anomalies. Obstet. Gynecol. 50:505–507, 1977.
Panigel, M.: Réactions vaso-motrices de l’arbre vasculare foetal au cours de la perfusion de cotylédons placentaires isolés maintenus en survie. C. R. Acad. Sci. (Paris) 255:3238–3240, 1962.
Panizza, V.H., Alvarez, H., and Benedetti, W.L.: The in vitro contractility of the human placental chorial vessels. J. Reprod. Med. 26:478–482, 1981.
Papaloucas, A., Avgoustiniatos, J., and Paisios, P.: Innervation of the umbilical cord in full term foetuses. IRCS Med. Sci. Anat. Hum. Biol. 3:117–118, 1975.
Parry, E.W.: Some electron microscope observation on the mesenchymal structures of full-term umbilical cord. J. Anat. 107:505–518, 1970.
Parry, E.W., and Abramovich, D.R.: Some observations on the surface layer of full-term human umbilical cord epithelium. J. Obstet. Gynaecol. Bit. Commonw. 77: 878–884, 1970.
Parry, E.W., and Abramovich, D.R.: The ultrastructure of human umbilical vessel endothelium from early pregnancy to full term. J. Anat. 111:29–42, 1972
Patel, D., Dawson, M., Kalyanam, P., Lungus, E., Weiss, H., Flaherty, E., and Nora, E.G.: Umbilical cord circumference at birth. Am. J. Dis. Child. 143: 638–639, 1989.
Pearson, A.A., and Sauter, R.W.: The innervation of the umbilical vein in human embryos and fetuses. Am. J. Anat. 125:345–352, 1969.
Pearson, A. A., and Sauter, R.W.: Nerve contributions to the pelvic plexus and the umbilical cord. Am. J. Anat. 128:485–498, 1970.
Pent, D.: Vasa previa. Am. J. Obstet. Gynecol. 134: 151–155, 1979.
Perrin, E.V.D., and Bel, J.K-V.: Degeneration and calcification of the umbilical cord. Obstet. Gynecol. 26: 371–376, 1965.
Petrikovsky, B.M., Nochimson, D.J., Campbell, W.A., and Vintzileos, A.M.: Fetal jejunoileal atresia with persistent omphalomesenteric duct. Am. J. Obstet. Gynecol. 158:173–175, 1988.
Philip, A.G.S.: Further observations on placental transfusion. Obstet. Gynecol. 42:334–343, 1973.
Philip, A.G., Yee, A.B., Rosy, M., Surti, N., Tsamt-souris, A., and Ingall, D.: Placental transfusion as an intrauterine phenomenon in deliveries complicated by foetal distress. Bit. Med. J. 1:11–13, 1969.
Potter, E.L.: Pathology of the Fetus and Infant. Yearbook Medical Publishers, Chicago, 1961.
Priman, J.: A note on the anastomosis of the umbilical arteries. Anat. Rec. 134:1–5, 1959.
Quek, S.P., and Tan, K.L.: Vasa previa. Aust. N.Z. J. Obstet. Gynaecol. 12:206–209, 1972.
Quinlan, D.K.: Coarctation in cord of twenty-one-week-old fetus, with atresia, fibrosis, secondary torsion. S. Afr. J. Obstet. Gynaecol. 3:1–2, 1965.
Radcliffe, P.A., Sindelair, P.J., and Zeit, P.R.: Vasa previa with marginal placenta previa of an accessory lobe: report of a case. Obstet. Gynecol. 16:472–475, 1961.
Ratten, G.J.: Spontaneous haematoma of the umbilical cord. Aust. N.Z. J. Obstet. Gynaecol. 9:125–126, 1969.
Rayburn, W.F., Beynen, A., and Brinkman, D.L.: Umbilical cord length and intrapartum complications. Obstet. Gynecol. 57:450–452, 1981.
Reece, E.A., Pinter, E., Green, J., Mahoney, M.J., Naftolin, F., and Hobbins, J.C.: Significance of isolated yolk sac visualised by ultrasonography. Lancet 1:269, 1987.
Reeves, T.B.: A double umbilicus. Anat. Rec. 10:15–18, 1916.
Rehder, H.: Anomalien der portalen und umbilikalen Venen. Virch. Arch. [A] 352:50–60, 1971.
Reiss, H.E.: Umbilical cord. Brt. Med. J. 2:511, 1964.
Resta, R.G., Luthy, D.A., and Mahony, B.S.: Umbilical cord hemangioma associated with extremely high alpha-fetoprotein levels. Obstet. Gynecol. 72:488–491, 1988.
Reynolds, S.R.M.: The proportion of Wharton’s jelly in the umbilical cord in relation to distention of the umbilical arteries and vein, with observations on the folds of Hoboken. Anat. Rec. 113:365–377, 1952.
Rhen, K., and Kinnunen, O.: Ante-partum rupture of the umbilical cord. Acta Obstet. Gynecol. Scand. 41:86–89, 1962.
Rissmann, Dr.: Aneurysma der Nabelschnurarterie. Zentralbl. Gynäkol. 55:550–551, 1931.
Rizos, N., Doran, T.A., Miskin, M., Benzie, R.J., and Ford, J.A.: Natural history of placenta previa ascertained by diagnostic ultrasound. Am. J. Obstet. Gynecol. 133:287–291, 1979.
Robertson, R.D., Rubinstein, L.M., Wolfson, W.L., Lebherz, T.B., Blanchard, J.B., and Crandall, B.F.: Constriction of the umbilical cord as a cause of fetal demise following midtrimester amniocentesis. J. Reprod. Med. 26:325–327, 1981.
Robinson, L.K., Jones, K.L., and Benirschke, K.: The nature of structural defects associated with velamen-tous and marginal insertion of the umbilical cord. Am. J. Obstet. Gynecol. 146:191–193, 1983.
Röckelein, G., and Scharl, A.: Scanning electron microscopic investigations of the human umbilical artery intima: a new conception on postnatal arterial closure mechanism. Virchows Arch. [A] 413:555–561, 1988.
Rolschau, J.: The relationship between some disorders of the umbilical cord and intrauterine growth retardation. Acta Obstet. Gynecol. Scand. [Suppl.] 72:15–21, 1978.
Romero, R., Chervenak, F.A., Coustan, D., Berkowitz, R.L., and Hobbins, J.C.: Antenatal sonographic diagnosis of umbilical cord laceration. Am. J. Obstet. Gynecol. 143:719–720, 1982.
Rucker, M.P., and Tureman, G.R.: Vasa previa. Va. Med. Monthly 72:202–207, 1945.
Rust, W.: Seltsame Veränderungen an den Nabelschnur-gefâssen. Arch. Gynäkol. 165:58–62, 1937.
Ruvinski, E.D., Wiley, T.L., Morrison, J.C., and Blake, P.G.: In utero diagnosis of umbilical cord hematoma by ultrasonography. Am. J. Obstet. Gynecol. 140: 833–834, 1981.
Sander, C.H.: Hemorrhagic endovasculitis and hemorrhagic villitis of the placenta. Arch. Pathol. Lab. Med. 104:371–373, 1980.
Scheffel, T., and Langanke, D.: Die Nabelschnurkomplikationen an der Universitäts-Frauenklinik von 1955 bis 1967. Zentralbl. Gynäkol. 92:429–434, 1970.
Schellong, G., and Pfeiffer, R.A.: Persistierender Ductus omphalo-mesentericus als Ursache ungewöhnlicher Komplikationen bei der Austauschtransfu-sion. Arch. Kinderheilk. 175:204–209, 1967.
Scheuner, G.: Über die Verankerung der Nabelschnur an der Plazenta. Morphol. Jahrb. 106:73–89, 1964.
Scheuner, G.: Über die mikroskopische Struktur der Inser-tio velamentosa. Zentralbl. Gynäkol. 87:38–49, 1965.
Schiebler, T.H., and Kaufmann, P.: Reife Plazenta. In, Die Plazenta des Menschen. V. Becker, T.H. Schiebler, and F. Kubli, eds. Thieme, Stuttgart, 1981.
Schordania, J.: Über das Gefäßsystem der Nabelschnur. Z. Ges. Anat. 89:696–726, 1929a.
Schordania, J.: Der architektonische Aufbau der Gefäße der menschlichen Nachgeburt und ihre Beziehungen zur Entwicklung der Frucht. Arch. Gynäkol. 135: 568–598, 1929b.
Schreier, R., and Brown, S.: Hematoma of the umbilical cord: report of a case. Obstet. Gynecol. 20:798–800, 1962.
Schreiner, C.A., and Hoornbeek, F.K.: Developmental aspects of sirenomelia in the mouse. J. Morphol. 141: 345–358, 1973.
Schwalbe, E.: Allgemeine Mißbildungslehre (Teratologie). Gustav Fischer, Jena, 1906.
Scott, J.M., and Jordan, J.M.: Placental insufficiency and the small-for-dates baby. Am. J. Obstet. Gynecol. 113:823–832, 1972.
Scott, J.M., and Wilkinson, R.: Further studies on the umbilical cord and its water content. J. Clin. Pathol. 31:944–948, 1978.
Scott, J.S.: Placenta extrachorialis (placenta marginata and placenta circumvallata). J. Obstet. Gynaecol. Bit. Emp. 67:907–918, 1960.
Seeds, J.W., Chescheir, N.C., Bowes, W.A., and Owl-Smith, F.A.: Fetal death as a complication of intrauterine intravascular transfusion. Obstet. Gynecol. 74:461–463, 1989.
Seifert, D.B., Ferguson, J.E., Behrens, C.M., Zemel, S., Stevenson, D.K., and Ross, J.C.: Nonimmune hydrops fetalis in association with hemangioma of the umbilical cord. Obstet. Gynecol. 66:283–286, 1985.
Seligsohn, U., Berger, A., Abend, M., Rubin, L., Attias, D., Zivelin, A., and Rapaport, S.I.: Homozygous protein C deficiency manifested by massive venous thrombosis in the newborn. N. Engl. J. Med. 310:559–362, 1984.
Shanklin, D.R.: The influence of placental lesions on the newborn infant. Pediatr. Clin. North Am. 17:25–42, 1970.
Shaw, A., and Pierog, S.: “Ectopic” liver in the umbilicus: an unusual focus of infection in a newborn infant. Pediatrics 44:448–450, 1969.
Shen-Schwarz, S., Macpherson, T., and Mueller-Heu-bach, E.: Hemorrhagic endovasculitis of the placenta: incidence and clinical features in an unselected population. Pediatr. Pathol. 5:112, 1986.
Shen-Schwarz, S., Macpherson, T.A., and Mueller-Heubach, E.: The clinical significance of hemorrhagic endovasculitis of the placenta. Am. J. Obstet. Gynecol. 159:48–51, 1988.
Shepherd, J.T.: Bayliss response in the umbilical artery. Fed. Proc. 27:1408–1409, 1968.
Shepherd, A.J., Richardson, C.J., and Brown, J.P.: Nuchal cords as a cause of neonatal anemia. Am. J. Dis. Child. 139:71–73, 1985.
Sibulkin, M.: A note on the bathtub vortex and the earth’s rotation. Am. Sci. 71:352–353, 1983.
Siddall, R.S.: Spontaneous rupture of the umbilical cord. Am. J. Obstet. Gynecol. 10:836–840, 1925.
Silva, P. de, Stoskopf, C.G., Keegan, K.A., and Murata, Y.: Use of fetal scalp hematocrit in the diagnosis of severe hemorrhage from vasa previa. Am. J. Obstet. Gynecol. 153:307–308, 1985.
Silver, R.K., Dooley, S.L., Tamura, R.K., and Depp, R.: Umbilical cord size and amniotic fluid volume in prolonged pregnancy. Am. J. Obstet. Gynecol. 157: 716–720, 1987a.
Silver, M.M., Yeger, H., and Lines, L.D.: Hemorrhagic endovasculitis-like lesion in placental organ culture. Lab. Invest. 56:6P, 1987b.
Silver, M.M., Yeger, H., and Lines, L.D.: Hemorrhagic endovasculitis-like lesion induced in placental organ culture. Hum. Pathol. 19:251–256, 1988.
Sinha, A.A.: Ultrastructure of human amnion and amniotic plaques of normal pregnancy. Z. Zeilforsch. 122:1–14, 1971.
Sinnathuray, T.A.: The nuchal cord incidence and significance. J. Obstet. Gynaecol. Bit. Commonw. 73: 226–231, 1966.
Slijper, E.J.: Die Geburt der Säugetiere. In, Handbuch der Zoologie, Vol. 8. W. Kükenthal, ed., pp. 1–108. De Gruyter, Berlin, 1960.
Smart, P.J.G.: Some observations on the vascular morphology of the foetal side of the human placenta. J. Obstet. Gynaecol. Bit. Commonw. 69:929–933,1962.
Smith, D., and Majmudar, B.: Teratoma of the umbilical cord. Hum. Pathol. 16:190–193, 1985.
Soernes, T., and Bakke, T.: The length of the human umbilical cord in vertex and breech presentations. Am. J. Obstet. Gynecol. 154:1086–1087, 1986.
Spatz, W.B.: Nabelschnur-Längen bei Insektivoren und Primaten. Z. Säugetierk. 33:226–239, 1968.
Spellacy, W.N., Gravem, H., and Fisch, R.O.: The umbilical cord complications of true knots, nuchal coils, and cords around the body. Am. J. Obstet. Gynecol. 94:1136–1142, 1966.
Spiteri, M., Ann, N.H., and Panigel, M.: Ultrastructure du muscle lisse des artères du cordon ombilical humain. Pathol. Biol. 14:348–357, 1966.
Spivack, M.: On the anatomy of the so-called Valves’ of umbilical vessels, with especial reference to the valvulae Hobokenii. Anat. Rec. 66:127–148, 1936.
Spivack, M.: On the presence or absence of nerves in the umbilical blood vessels of man and guinea pig. Anat. Rec. 85:85–109, 1943.
Stevens, N.G., and Sander, C.H.: Placental hemorrhagic endovasculitis: risk factors and impact on pregnancy outcome. Lab. Invest. 50:57A, 1984.
Stevenson, R.E., Jones, K.L., Phelan, M.C., Jones, M.C., Barr, M., Clericuzio, C., Harley, R.A., and Benirschke, K.: Vascular steal: the pathogenetic mechanism producing sirenomelia and associated defects of the viscera and soft tissues. Pediatrics 78: 451–457, 1986.
Strassmann, P.: Placenta praevia. Arch. Gynäkol. 67: 112–275, 1902.
Swanberg, H., and Wiqvist, N.: Rupture of the umbilical cord during pregnancy. Acta Obstet. Gynecol. Scand. 30:323–337, 1951.
Szécsi, K.: Beiträge zur spontanen Zerreißung der zu kurzen Nabelschnur. Zentralbl. Gynäkol. 77:1024–1028, 1955.
Takagi, T., Toda, T., Leszczynski, D., and Kummerow, F.: Ultrastructure of aging human umbilical artery and vein. Acta Anat. (Basel) 119:73–79, 1984.
Ten Berge, B.S.: Nervenelemente in Plazenta und Nabelschnur. Gynaecologia 156:49–53, 1963.
Theuring, F.: Fibröse Obliterationen an Deckplat-ten-und Stammzottengefaßen der Placenta nach intrauterinem Fruchttod. Arch. Gynäkol. 206:237 – 251, 1968.
Thomas, J.: Untersuchungsergebnisse über die Aplasie einer Nabelarterie unter besonderer Berücksichtigung der Zwillingsschwangerschaft. Geburtshilfe Frauen-heilk. 21:984–992, 1961.
Thomas, J.: Die Entwicklung von Fetus und Placenta bei Nabelgefäßanomalien. Arch. Gynäkol. 198:216–223, 1963.
Torpin, R.: Classification of human pregnancy based on depth of intrauterine implantation of ovum. Am. J. Obstet. Gynecol. 66:791–800, 1953.
Torrey, W.E.: Vasa previa. Am. J. Obstet. Gynecol. 63: 146–152, 1952.
Tortora, M., Chervenak, F.A., Mayden, K., and Hobbins, J.C.: Antenatal sonographic diagnosis of single umbilical artery. Obstet. Gynecol. 63:693–696, 1984.
Trudinger, B.J., and Cook, C.M.: Different umbilical artery flow velocity waveforms in one patient. Obstet. Gynecol. 71:1019–1021, 1988.
Trudinger, B.J., Stevens, D., Connelly, A., Hales, J.R.S., Alexander, G., Bradley, L., Fawcett, A., and Thompson, R.S.: Umbilical artery flow velocity waveforms and placental resistance: the effects of embolization of the umbilical circulation. Am. J. Obstet. Gynecol. 157:1443–1448, 1987.
Tuggle, A.Q., and Cook, W. A.: Laceration of a placental vein: an injury possibly inflicted by the fetus. Am. J. Obstet. Gynecol. 131:220–221, 1978.
Ukeshima, A., Hayashi, Y., and Fujimoto, T.: Surface morphology of the human yolk sac: endoderm and mesothelium. Arch. Histol. Jpn. 49:483–494, 1986.
Uyanwah-Akpom, P.O., and Fox, H.: The clinical significance of marginal or velamentous insertion of the cord. Bit. J. Obstet. Gynaecol. 84:941–943, 1977.
Vandriede, D.M., and Kammeraad, L.A.: Vasa previa: case report, review and presentation of a new diagnostic method. J. Reprod. Med. 26:577–580, 1981.
Vanhaesebrouck, P., Vanneste, K., de Praeter, G., and van Trappen, Y.: Tight nuchal cord and neonatal hypovolemic shock. Arch. Dis. Child. 62:1276–1277, 1987.
Vardi, P.: Placental transfusion: an attempt at physiological delivery. Lancet 2:12–13, 1965.
Virgilio, L.A., and Spangler, D. B.: Fetal death secondary to constriction and torsion of the umbilical cord. Arch. Pathol. Lab. Med. 102:32–33, 1978.
von Hayek, H.: Der funktionelle Bau der Nabelarterien und des Ductus Botalli. Z. Anat. Entwicklungsgesetz 105:15–24, 1936.
Vu, T., Baldwin, V.J., Perrin, E.V.D.K., and Shanklin, D.R.: Major umbilical vessel rupture in utero. Pediatr. Pathol. 2:494, 1984.
Waidl, E.: Zur Genese und Klinik der Insertio velamen-tosa. Zentralbl. Gynäkol. 82:1902–1906, 1960.
Walker, G.W., and Pye, B.G.: The length of the umbilical cord; a statistical report. Bit. Med. J. 1:546–548, 1960.
Walsh, S.Z.: Maternal effects of early and late clamping of the umbilical cord. Lancet 1:996–997, 1968.
Walz, W.: Über das Ödem der Nabelschnur. Zentralbl. Gynäkol. 69:144–148, 1947.
Weber, J.: Constriction of the umbilical cord as a cause of foetal death. Acta Obstet. Gynecol. Scand. 42: 259–268, 1963.
White, R.P.: Pharmacodynamic study of maturation and closure of human umbilical arteries. Am. J. Obstet. Gynecol. 160:229–237, 1989.
Widholm, O., and Nieminen, U.: Prolapse of umbilical cord. Acta Obstet. Gynecol. 42:21–29, 1963.
Wigger, H.J., KIU, T.W., Moessinger, A.C., Marboe, GG., and Blanc, W. A.: Effect of cigarette smoking on the ultrastructure of the placenta. Lab. Invest. 50: 14P.,1984.
Williams, J.H., and Benirschke, K.: Chorionic vessel thrombosis: a possible etiology of neonatal purpura. J. Reprod. Med. 20:285–288, 1978.
Williams, J., Katzman, G.H., and Kripke, S.S.: Neck compression by nuchal cord. Am. J. Obstet. Gynecol. 140:345–346, 1981.
Winter, R.: Die Rolle regressiver Veränderungen der Plazenta bei der sogenannten Plazentamigration. Geburtshilfe Frauenheilk. 38:1093–1098, 1978.
Winters, R.H.: Unique vascular relationship in human umbilical cord. Nature 226:656, 1970.
Wolf, P.L., Jones, K.L., Longway, S.R., Benirschke, K., and Bloor, G.: Prenatal death from acute myocardial infarction and cardiac tamponade due to embolus from the placenta. Am. Heart J. 109:603–605, 1985.
Wolfman, W.L., Purohit, D.M., and Self, S.E.: Umbilical vein thrombosis at 32 weeks’ gestation with delivery of a living infant. Am. J. Obstet. Gynecol. 146: 468–470, 1983.
Woods, D.L., and Malan, A.F.: The site of umbilical cord insertion and birth weight. Bit. J. Obstet. Gynaecol. 85:332–333,1978.
Yamada, K., and Shimizu, S.: Concanavalin A-per-oxidase-diaminobenzidine (Con A-PO-DAB)-alcian blue (AB): a reliable method for dual staining of complex carbohydrates. Histochemistry 47:159–169, 1976.
Yang, H.Y., Shum, A.Y.C., Ng, H.T., and Chen, CF.: Effect of ethanol on human umbilical artery and vein in vitro. Gynecol. Obstet. Invest. 21:131–135, 1986.
Yao, A.C., and Lind, J.: Placental transfusion: review. Am. J. Dis. Child. 127:128–141, 1974.
Yao, A.C., Hirvensalo, M., and Lind, J.: Placental transfusion-rate and uterine clamping. Lancet 1:380–383, 1968.
Yao, A.C., Moinian, M., and Lind, J.: Distribution of blood between infant and placenta after birth. Lancet 2:871–873, 1969.
Yao, A.C., Lind, J., and Lu, T.: Closure of the human umbilical artery: a physiological demonstration of Burton’s theory. Eur. J. Obstet. Gynecol. Reprod. Biol. 7:365–368, 1977.
Yavner, D.L., and Redline, R.W.: Angiomyxoma of the umbilical cord with massive cystic degeneration of Wharton’s jelly. Arch. Pathol. Lab. Med. 113:935–937, 1989.
Young, A.: The primate umbilical cord with special reference to the transverse communicating artery. J. Hum. Evol. 1:345–359, 1972.
Young, G.B.: The peripatetic placenta. Radiology 128: 183–188, 1978.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1990 Springer Science+Business Media New York
About this chapter
Cite this chapter
Benirschke, K., Kaufmann, P. (1990). Umbilical Cord and Major Fetal Vessels. In: Pathology of the Human Placenta. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-4193-3_8
Download citation
DOI: https://doi.org/10.1007/978-1-4757-4193-3_8
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4757-4195-7
Online ISBN: 978-1-4757-4193-3
eBook Packages: Springer Book Archive