A 26-year-old primigravida at 20 weeks of gestation attends the GP. Her anomaly scan reported a two-vessel umbilical cord (single umbilical artery). N...

Question

A 26-year-old primigravida at 20 weeks of gestation attends the GP. Her anomaly scan reported a two-vessel umbilical cord (single umbilical artery). No other abnormalities were detected. She is anxious. Which is the single most appropriate management?

Accepted Answer

Arrange serial growth ultrasound scans as there is an association with fetal growth restriction

Answer

Amniocentesis to exclude chromosomal abnormality

Answer

No follow-up needed - an isolated single umbilical artery is a normal variant

Answer

Refer urgently for fetal echocardiography

Answer

Arrange karyotyping of both parents

uk-drcog MCQ (SBA): Isolated Single Umbilical Artery

A 26-year-old primigravida at 20 weeks of gestation attends the GP. Her anomaly scan reported a two-vessel umbilical cord (single umbilical artery). No other abnormalities were detected. She is anxious. Which is the single most appropriate management?