Fetal exsanguination from ruptured vasa previa: still a catastrophic event in modern obstetrics

  title={Fetal exsanguination from ruptured vasa previa: still a catastrophic event in modern obstetrics},
  author={J Robert and Waldo Sepulveda},
  journal={Journal of Obstetrics and Gynaecology},
  pages={574 - 574}
Case report A 27-year-old primigravida presented at 38 weeks’ gestation with rupture of membranes and painless vaginal bleeding, which had occurred following intercourse. Her antenatal course had been uncomplicated and routine scans at 7 and 19 weeks were reported as normal. Ultrasound scan at 32 weeks had revealed a singleton fetus in cephalic presentation with normal fetal growth on the 20th centile. The amniotic fluid volume was normal and the placenta was high, located on the posterior and… 

Introducing a case of fetal growth disorder with vasa previa

A case report of pregnancy with a velamentous variate cord that prevented the subsequent tragic events by early diagnosis and timely cesarean section and IUGR and fetal growth retardation can be associated with placental disorders.

Vasa previa: a case report

A case of vasa previa is presented which was successfully managed at the institute and the diagnosis possible prenatally as early as second trimester.

#37: Diagnosis and management of vasa previa.

Twin pregnancy complicated by vasa previa

A case of vasa previa in a twin pregnancy was diagnosed postnatally, which leads to complications with the first twin, and transvaginal ultrasound screening with colour flow Doppler can allow antenatal diagnoses of vase previa and an improved outcome.

Is it time to actively look for vasa praevia?

  • A. NishtarP. Wood
  • Medicine
    Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
  • 2012
Identification of vasa praevia by the 3rd trimester of pregnancy warrants the offer of delivery by planned caesarean section to avoid the complications, and the role of prenatal diagnosis requires an informed debate.

Prenatal Diagnosis of Vasa Praevia: A Case Report and Literature Review

Ultrasonographic prenatal detection of vasa praevia has made a significant impact in the reduction of perinatal mortality and morbidity from this condition.

Velamentous Insertion of the Umbilical Cord

  • W. Sepulveda
  • Medicine
    Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
  • 2006
Sonographic examination at this early gestational age provides the opportunity for screening for velamentous insertion of the umbilical cord in the first trimester, allowing close surveillance of the pregnancy for potential complications associated with this condition.

Effectiveness of Timing Strategies for Delivery of Individuals With Vasa Previa

For women with a vasa previa, delivery at 34–35 weeks of gestation may balance the risk of perinatal death with the risks of infant mortality, respiratory distress syndrome, mental retardation, and cerebral palsy related to prematurity.

The Placenta and Umbilical Cord

The response of the placenta to injury is limited and there is a need to correlate the macroscopic and microscopic findings with clinical and laboratory investigations.

Vasa Praevia; a Preventable Tragedy

The exclusion of vasa praevia can take under a minute and its inclusion within the routine anomaly scan should be prioritised, because healthy babies will continue to die due to this condition.



Vasa previa: an avoidable obstetric tragedy.

Transvaginal ultrasound in combination with color Doppler is the most effective tool in the antenatal diagnosis of vasa previa and should be utilized in patients at risk, specifically those with bilobed, succenturiate-lobes, and low-lying placentas, pregnancies resulting from in vitro fertilization, and multiple pregnancy.

Vasa praevia—report of three cases and review of literature

A 32-year-old woman with one previous successful pregnancy had an ultrasound scan at about 16 weeks gestation which confirmed her dates and revealed a placenta covering the 0s, but because of the antepartum haemorrhage, induction of labour was planned for 40 weeks gestation.

Vasa praevia: second trimester diagnosis using colour flow imaging

A 34 year old woman with an unremarkable family and obstetric history underwent a routine, detailed second trimester scan, which revealed a structurally normal singleton fetus in breech presentation and biometry consistent with 19 weeks of gestation.

Nonfatal Venous Air Embolism During Cesarean Section: A Case Report and Review of the Literature

The clinical course and successful management of a patient with this complication during cesarean section is described and a review of the literature on the phenomenon of venous air embolism in the obstetrical patient is provided with particular emphasis on pathophysiology, detection, and treatment.

Poor perinatal outcome associated with vasa previa: is it preventable? A report of three cases and review of the literature

  • T. FungT. Lau
  • Medicine
    Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
  • 1998
Antenatal diagnosis was significantly associated with decreased fetal mortality and a low‐lying placenta is a risk factor for vasa previa, as it occurred in 81% of patients.

Choosing caesarean section

Nonfatal venous

  • 1994

Tel: 02920650981; E-mail: milindusha@hotmail

  • Dr Usha Kiran, 66 Cefn Graig

Centre for Fetal Care, Queen Charlotte's and Chelsea Hospital

  • Hammersmith Hospitals NHS Trust

Poor perinatal outcome

  • Gynaecology,
  • 1998