Please explain why the blood vessels of the placenta are not located in the center but on the membrane.

Patient's question:

Fetal death at 31 weeks of gestation, all examinations were normal, but the doctor said the blood vessels of the placenta were not in the middle but on the membrane, could this be the reason?

Doctor's answer:

Analysis of the condition: Fetal death in utero at 31 weeks. Suspected velamentous placenta.
Advice: What you mentioned, "the blood vessels of the placenta are not growing in the center but on the membrane," should refer to the umbilical cord attaching to the fetal membrane, which may indicate a velamentous placenta. In a normal placenta, the umbilical cord should attach to the central or lateral part of the placenta. A velamentous placenta is prone to fetal growth restriction and fetal death in utero. This condition cannot be prevented. The only approach is to closely monitor regular prenatal examinations, and color Doppler ultrasound may help provide early detection.

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