Vasa previa is a rare but potentially life-threatening condition to the fetus. Timely antenatal diagnosis and delivery by cesarean section (CS) can lead to a favorable outcome. Here, we report a case of recurrent pregnancy loss (G3A2) with vasa previa, which was diagnosed prenatally by ultrasound. She was admitted at her 31st week with bleeding per vaginum (PV) provisionally diagnosed as antepartum hemorrhage (APH) and managed conservatively as placenta previa. Follow-up ultrasonography (USG) revealed vasa previa at 33 weeks. The fetus was delivered by lower segment cesarean section (LSCS) after careful separation of the membranes and avoiding damage to the vessels as there was velamentous insertion of cord with the lower margin of the placenta in the lower segment. The baby was cared for in the neonatal intensive care unit due to prematurity and discharged after six days. This case report highlights the importance of prenatal ultrasound in diagnosing vasa previa and planning an elective cesarean section with caution intraoperatively for the safe delivery of the baby.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10994209 | PMC |
| http://dx.doi.org/10.7759/cureus.55578 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A Case of Vasa Previa Diagnosed at Term: Elective Caesarean Section with Good Feto-Maternal Outcomes.
Int Med Case Rep J
January 2025
Department of Obstetrics and Gynecology, Universitas Padjadjaran, Bandung, Indonesia.
Vasa previa is a condition where unprotected fetal vessels, neither by placenta nor umbilical cord, lie within the membranes over the internal cervical ostium and beneath the presenting part of the fetus. Due to this condition, the membranous vessels pose a higher risk of being compressed or ruptures and could lead to fetal demise, exsanguination, or even fetal death. In this case report, we reported a case of a 36-year-old woman, G3P2A0, at term gestation and oblique lie.
View Article and Find Full Text PDFEvidence-based Diagnosis and Treatment of Vasa Previa.
Clin Obstet Gynecol
March 2025
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, NYU Langone Health, New York, NY.
Vasa previa is an abnormality of the umbilical cord and fetal membranes that affects ∼1 in 1300 pregnancies. The diagnosis is made by visualization of velamentous fetal vessels coursing within the membranes over the cervix unprotected by Wharton jelly or placenta. When it is not diagnosed prenatally, it is associated with a high risk of fetal death.
View Article and Find Full Text PDFVasa 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.
Prenatal diagnosis of vasa praevia in routine clinical practice: Prevention of stillbirths and impact on perinatal outcomes.
Eur J Obstet Gynecol Reprod Biol
February 2025
Medway Fetal and Maternal Medicine Centre, Gillingham, UK; Institute of Medical Sciences, Canterbury Christ Church University, Kent, UK. Electronic address:
Article Synopsis
- Vasa praevia (VP) is a serious condition where fetal blood vessels are near the cervix, and detecting it before birth can significantly improve baby survival rates.
- The study aimed to demonstrate a two-stage ultrasound screening process for identifying VP during routine prenatal care, which could help prevent stillbirths and perinatal deaths.
- Analyzing data from over 53,000 pregnancies, the study found that VP occurred in about 1 in 1,192 pregnancies, with specific factors like low-lying placenta and placenta previa being strong indicators of the condition.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!