Article

Vasa previa

All authors from "TheFetus.net" and "Inner Vision Women's Ultrasound", Nashville, TN.
Journal of prenatal medicine 01/2007; 1(1):2-13.
Source: PubMed
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Available from: Philippe Jeanty
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    ABSTRACT: Objective: To report a case of vasa previa and a review of the literature in terms of the pathogenesis, pre-natal ultrasound diagnosis, and perinatal prognosis. Materials and methods: We present a case of a 44 year-old woman in her 36th week of gestation who came to Hospital Manuel Uribe Ángel (HMUA), a level II public referral center in Envigado, Antioquia. The clinical record was used as a source of information. The search of the literature was conducted using the key words vasa previa, ultrasonography, prognosis in the Medline databases through PubMed between 1993 and 2013, in English and Spanish. The search focused on topic reviews, systematic reviews, and case reports. Results: Overall, 35 articles were found, all the references were analyzed, resulting in 22 case reports, 8 topic reviews, and 5 systematic reviews. Conclusions: Vasa previa is an infrequent obstetrical complication. Ultrasound placental assessment is a useful tool to determine umbilical cord insertion and potential abnormalities. Prognosis is poor, with high rates of fetal mortality in the absence of pre-natal diagnosis.
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    ABSTRACT: Vasa praevia can have the catastrophic consequences of a fetal or neonatal death. There are few antenatal diagnoses whereby ultrasound can have such a direct impact on outcome and dramatically increase the chances of survival in pregnancies affected by this condition. The exclusion of vasa praevia can take under a minute and its inclusion within the routine anomaly scan should be prioritised. Until this occurs, healthy babies will continue to die due to this condition.
    Full-text · Article · Feb 2008 · Ultrasound
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    ABSTRACT: Vasa previa is an uncommon obstetric complication in which aberrant vessels coming from the placenta or the umbilical cord cross over the internal cervical os, thus appearing immediately before the foetal presentation. If it is not diagnosed before the onset of labour or rupture of membranes, the perinatal outcome is general very poor. We report a case of vasa previa which was prenatally diagnosed by ultrasound in a woman presenting with antepartum bleeding and a low-lying bilobular placenta in the third trimester. The aetiology and clinical management of this condition are discussed.
    No preview · Article · Nov 2009 · Progresos de Obstetricia y Ginecología
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