<prompt> Velamentous inseion of the cord is associated with an increased risk for:Maternal hemorrhage prior to deliveryCan cause fetal exsanguinations before labor due to blood lossTorsion of the umbilical cord and fetal deathIncreased fetal malformations incidence  <response>: With velamentous inseion of the cord, the umbilical vessels separate in the membranes at a distance from the placental margin, which they reach surrounded only by amnion. It occurs in about 1 of singleton gestations but is quite common in multiple pregnancies. When fetal vessels cross the internal os vasa pre, rupture of membranes may be accompanied by rupture of a fetal vessel, leading to fetal exsanguination. 