Soms ligt de aanhechting echter helemaal aan de rand (een marginale insertie) of hecht de navelstreng zich niet direct in de placenta — maar in de vruchtvliezen (een velamenteuze insertie). Soms zien echoscopisten tijdens de 20-wekenecho dat de navelstreng niet drie, maar slechts twee bloedvaten bevat. Slechts bij ongeveer 1% van de zwangerschappen ontstaat er een ‘ware knoop’ doordat de baby door een lus van zijn eigen navelstreng is gezwommen.
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