Vas previa remains one of the most unexpected and tragic accidents in obstetrics. The diagnosis is rarely made before delivery and, even when the condition has been recognized during labor on rare occasions, the fetal mortality has been extremely high. The fact that the fetus is at maximum risk while there is no maternal hazard at all makes this condition unique in obstetrics and demands that management be directed exclusively toward saving the baby. From a review of the literature an attempt has been made to see whether modern techniques of prenatal and intrapartum care can be used to improve the fetal salvage rate. This report also includes the report of a case with the usual fatal fetal outcome. A second case of velamentous insertion of the cord associated with a bilobed placenta is also reported. From 54 cases reported in the literature since 1952, it appears that the fetal mortality is likely to remain very high in this condition, at least for the foreseeable future.
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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.
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