Pregnancy induced hypertension is associated with placental morphological changes and adverse fetal outcome. Insertion of umbilical cord to placenta varies from central, eccentric, lateral and marginal. Few more rare variations like Velamentous or furcate are also present.

Methodology: 50 placentae from normal uncomplicated pregnancy and 50 from  pregnancy induced hypertension are collected and the types of variation in insertion of umbilical cord to placenta are observed.

Results:  central and eccentric insertions are common in both groups. Marginal insertion is more prevalent in PIH group which is associated with IUGR& IUDs.

Hence ultrasound study of placenta and insertion of umbilical cord is useful to assess the outcome of pregnancy and to counsel about the PIH and its complications.