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Pregnancy  (Expert Forum)
 | 
2 vessel cord
Answered by
Keith Downing, MD - Obstetrics, Gynecology
MA
This forum is for questions and support regarding pregnancy issues such as: Alcohol/Drugs, Bleeding, Caesarean Section, Childbirth, Diabetes, Depression, Fetal Monitoring, Genetic Testing, Hormonal Changes, Labor, Lamaze, Morning Sickness, Nutrition, Parenting, Prenatal Care, Weight gain.

2 vessel cord

by Madigirl1, Oct 27, 2007 11:07AM
I had my first child at 30, she had a 2 vessel cord, and completly fine(born 4 weeks early, tried to come into this world 3 months early). After she was born I had a blood clot, which is thought to be caused from the prolonged bed rest and cesarean. I was in the hospital for a week and was determined I had dvt and am currently on warfarin to keep my blood thin. I am 35 now and thinking about having another baby. What are my risks and my babies risks with dvt and what is the chance of another 2 vessel cord.

by Keith Downing, MD, Oct 31, 2007 01:51PM
Hello,

A 2 vessel cord can be seen in normal babies, but is found more often in babies with a chromosomal abnormality.  It is hard to say the chance of this recurring again, however, given your age (35) you would be at an increased risk of having a baby with a chromosomal abnormality (e.g., Downs Syndrome).

Warfarin is contra-indicated in pregnancy due to its association with fetal anomalies.  Women on Warfarin are encouraged to switch to heparin (either unfractionated or low molecular weight heparin) throughout their pregnancy.  Having had a blood clot you will be at risk of having another.  Pregnancy and the immediate postpartum time frame is a high risk period for forming blood clots.

I strongly encourage you to have a consultation with a maternal fetal medicine specialist (high risk obstetrician) prior to beginning attempts to conceive.

Best regards,

Dr. Downing
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