large vessel in membranes. Spontaneous vaginal delivery | Figure 1

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Diamniotic-dichorionic (fraternal) twin placentas. Vertex-vertex vaginal birth at 38 weeks. Both brothers weighed over 8 lbs! Caught by registered midwife in-hospital.


small placenta succenturiata; 40+1 weeks, vaginal delivery


Talk about velamentous cord insertion! This is probably the worst I’ve ever seen. Beautiful strip with 9/9 Asgars. However, Mom’s BP spiked with labor progression even with a working epidural. This can go hand in hand with abnormal placentation. #midwife #certifiednursemidwife #velamentouscordinsertion


Marginal velamentous insertion. No decels were detected during labor. Baby weighed 10 pounds.

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patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?