Is single umbilical artery harmful for the baby?

Question
My 26 years old wife is pregnant. Her recent scan reports that there is single umbilical artery and the baby is in breech position. Will this have adverse effects on the baby?
Expert Answer
B
A single umbilical artery can be associated with certain birth defects - some can be picked up on a scan - provided the ultrasonologist is highly experienced. Also, there can be some babies with chromosomal anomalies - some of these can be picked up by scan. Your wife may require an amniocentesis, if deemed essential by your gynaecologist after reading the scan report. In labour there is a higher incidence of fetal distress requiring C-section. Please ensure your wife is booked for delivery in a tertiary level hospital with a good neonatologist and NICU.