Incidence of and risk indicators for vasa praevia: a systematic review

@article{Ruiter2016IncidenceOA,
  title={Incidence of and risk indicators for vasa praevia: a systematic review},
  author={Laura Ruiter and N. Kok and Jacqueline Limpens and J. B. Derks and I. M. de Graaf and B W J Mol and Eva Pajkrt},
  journal={BJOG: An International Journal of Obstetrics \& Gynaecology},
  year={2016},
  volume={123},
  pages={1278 - 1287}
}
  • L. Ruiter, N. Kok, E. Pajkrt
  • Published 1 July 2016
  • Medicine
  • BJOG: An International Journal of Obstetrics & Gynaecology
Vasa praevia (VP) is a rare phenomenon that is assumed to increase the risk of severe complications, including fetal death. Critical data on its incidence are lacking, so there is no rational basis for prenatal screening. 

Vasa previa: easy to miss

  • K. KaganM. HoopmannJ. Sonek
  • Medicine
    Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
  • 2018
Vasa praevia is a condition that can result in a devastating fetal outcome if it is not diagnosed during the antepartum period, and some have reported that in these cases the neonatal survival rate is less than 50%.

Vasa previa: A rare obstetric complication–A case series and a literature review

Five cases of vasa previa prenatally diagnosed from a tertiary referral hospital with approximately 2000 births yearly are presented.

Are we over‐diagnosing vasa praevia? The experience and lessons learned in a tertiary centre

There is little data available on the false positive rates for the antenatal diagnosis of VP, but improving accuracy of the diagnosis can potentially improve outcomes and reduce unnecessary intervention.

Vasa Previa: Prenatal Diagnosis and Outcomes: Thirty‐five Cases From a Single Maternal‐Fetal Medicine Practice

To assess the accuracy and effectiveness of routine screening for vasa previa, to describe our experience, and to assess factors that contribute to missed cases of vasa previa.

Re: Incidence of and risk factors for vasa praevia: a systematic review

  • Y. Oyelese
  • Medicine
    BJOG : an international journal of obstetrics and gynaecology
  • 2017
Sir, I read with great interest the excellent systematic review on the incidence and risk factors for vasa praevia (VP) by Ruiter et al. However, I disagree with the authors’ conclusion that ‘In view

Authors’ reply re: Incidence of and risk factors for vasa praevia: a systematic review

Sir, I read with great interest the excellent systematic review on the incidence and risk factors for vasa praevia (VP) by Ruiter et al. However, I disagree with the authors’ conclusion that ‘In view

A survey of opinion and practice regarding prenatal diagnosis of vasa previa among obstetricians from Australia and New Zealand

To define current obstetric opinion and clinical practice regarding the prenatal diagnosis of vasa previa in Australia and New Zealand, it is suggested that women with a history of high-risk pregnancies should be referred to a specialist for treatment of this condition.

Prevention of stillbirth: impact of two‐stage screening for vasa previa

The feasibility and effectiveness of a two‐stage ultrasound screening strategy for detection of vasa previa and the potential impact of screening on prevention of stillbirth are examined.

Risk-adapted management for vasa praevia: a retrospective study about individualized timing of caesarean section

Individualized, risk-adapted management, which attempts to delay the timing of caesarean section up to two weeks beyond the standard recommendation, seems feasible, with just two emergency caesAREan sections and no case of foetal or maternal death.

How to screen for vasa previa

  • A. RanziniY. Oyelese
  • Mathematics
    Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
  • 2020
Practical points and useful tips which are helpful in evaluating patients for vasa previa are discussed.

References

SHOWING 1-10 OF 40 REFERENCES

Natural History of Vasa Previa Across Gestation Using a Screening Protocol

The purpose of this study was to estimate the prevalence and persistence rate of vasa previa in at‐risk pregnancies using a standardized screening protocol.

Is neonatal risk from vasa previa preventable? The 20‐year experience from a single medical center

Assessment of the prenatal detection of vasa previa and its subsequent impact on neonatal outcomes in two 10‐year periods (1988–1997 versus 1998–2007) found no change in neonatal morbidity and mortality.

Diagnosis and management of vasa previa: a questionnaire survey

  • C. IoannouC. Wayne
  • Medicine
    Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
  • 2010
Our aim was to assess the current use of obstetric ultrasound imaging for the diagnosis of asymptomatic vasa previa. We also investigated obstetricians' views on the feasibility of a screening policy

Prediction of risk for vasa previa at 9–13 weeks' gestation

Aim:  To assess the usefulness for predicting vasa previa by detecting a cord insertion site in the lower third of the uterus between 9 and 13 weeks' gestation.

The cost‐effectiveness of targeted or universal screening for vasa praevia at 18–20 weeks of gestation in Ontario

The cost‐effectiveness of targeted or universal screening for vasa praevia at 18–20 weeks of gestation in Ontario at 18 years of age is unclear.

Systematic review of accuracy of ultrasound in the diagnosis of vasa previa

  • L. RuiterN. Kok E. Pajkrt
  • Medicine
    Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
  • 2015
The objective was to assess the accuracy of ultrasound in the prenatal diagnosis of vasa previa, an obstetric complication in which the fetal blood vessels lie outside the chorionic plate in close proximity to the internal cervical os.

Prenatal sonographic diagnosis of vasa previa: ultrasound findings and obstetric outcome in ten cases

To assess the specificity of sonographic diagnosis of vasa previa and pregnancy outcome in sonographically diagnosed cases, a large number of cases with known pregnancies are studied.

Various Doppler sonographic appearances and challenges in prenatal diagnosis of vasa praevia

A better knowledge of the characteristic Doppler sonographic appearances and the risk factors associated with vasa praevia could greatly facilitate the prenatal diagnosis of this condition and hence the fetal prognosis.

Analysis of the ultrasonographic findings predictive of vasa previa

To clarify the ultrasonographic findings indicative of prenatal vasa previa, a second study is being conducted to investigate the role of EMT in the development of Down's syndrome.