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Vasa previa guidelines and their supporting evidence.
J Perinat Med
January 2025
Department of Obstetrics & Gynaecology, 2541 Monash University, Melbourne, VIC, Australia.
Article Synopsis
- Vasa previa (VP) is a serious complication where fetal blood vessels are vulnerable near the cervix, requiring cesarean delivery before labor to avoid severe risks.
- Different obstetric organizations have varying guidelines on managing VP, especially regarding hospitalization, steroid use, and delivery timing for asymptomatic patients.
- Current guidelines lack robustness, relying on low-quality evidence and not incorporating new research insights, highlighting the need for more substantial evidence for improved management strategies.
Prenatal diagnosis of total vasa previa using 2D and HD live flow combined with spatiotemporal correlation: a case series description.
Quant Imaging Med Surg
December 2024
Ultrasound Medicine Center, Gansu Provincial Maternity and Child-care Hospital, Lanzhou, China.
Management strategy and experience of vasa previa in perinatal centers: A nationwide survey in Japan.
J Obstet Gynaecol Res
January 2025
Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Aim: To clarify the current situation and outcomes of vasa previa (VP) in Japan.
Methods: A questionnaire survey on VP was conducted at all 408 perinatal centers in Japan. The content of the survey included (1) the management strategy for pregnant women who were diagnosed with VP and (2) the number and outcomes of VP cases managed between January 2020 and December 2022.
Placenta Previa.
Clin Obstet Gynecol
December 2024
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center.
Article Synopsis
- Placenta previa is a significant cause of bleeding during pregnancy and used to be a major cause of maternal deaths, but advancements in care have improved outcomes.
- It is usually detected during routine ultrasounds in the second trimester, and most cases resolve before the due date.
- Key risk factors include previous cesarean deliveries, older age, and smoking, and if the condition persists late in pregnancy, a cesarean delivery is advised.
Clinically Focused Insights on the Placenta and Umbilical Cord: An Evidence-based Symposium.
Clin Obstet Gynecol
December 2024
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center.
Article Synopsis
- The symposium presents a series of reviews focused on important clinical aspects of the placenta and umbilical cord, covering conditions like placenta previa and abruption, as well as various pathologies and infections.
- It highlights the critical functions of the umbilical cord as a lifeline for the fetus, discussing how its dysfunction can lead to complications such as vasa previa.
- This collection emphasizes the significance of understanding these structures for ensuring maternal-fetal health throughout pregnancy.
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