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A CASE REPORT ON VELAMENTOUS INSERTION OF CORD AND ITS OUTCOME Presenting author ? Dr.K. Sushmitha(Resident OBGY) Guide ? Dr. Sri Tanaya (Professor, OBGY) ABSTRACT: Introduction: Velamentous insertion of cord, seen in 1% of total pregnancies cause for fetal growth restriction which leads to oligohydramnios and doppler changes. Objectives: To timely intervene in the case and give symptomatic treatment . Methods: 30 year old G3A2 with POG(d/s);31.2wk/31.3wk with infertility treatment (ovulation induction)for 7 months with c/o decreased perceiving fetal movements with usg report stating AFI-1cm and fetal growth restriction lag of 5-6 weeks and high resistance flow in uterine PI and ductus venosus and reversed flow in umbilical artery. Patient was taken up of emergency LSCS on request of relatives. Results: Preoperative diagnosis:G3A2 with POG(d/s):31.2/31.3wk with grade 3 IUGR with severe oligohydramnios with doppler changes with breech presentation. Postoperative diagnosis:P1D1A2 /EMG LSCS under SA/male/900gms/Ivo grade 3 IUGR with severe oligohydramnios with doppler changes with breech presentation. Conclusion: With advent of advanced USG procedures Velamentous insertion of cord can be diagnosed in early antenatal period and symptomatic treatment should be given to prevent fetal growth restriction and oligohydramnios and prolong the pregnancy.