Early Suspicion of Vasa Previa with Velamentous Umbilical Cord Insertion and Low Laying Placenta and its Management

Natasha Gupta; Mina Tirabassi; Jeff B Chapa; Ori Kushnir; Josef Blankstein

Authors

Natasha Gupta
Mina Tirabassi
Jeff B Chapa
Ori Kushnir
Josef Blankstein

Keywords:

Abstract

We present a case of a 34 years old female who was suspected to have vasa previa due to sonographic evidence of low lying placenta and velamentous cord insertion, early in the pregnancy. Vasa previa can lead to significant perinatal morbidity by causing fetal exsanguination, if diagnosis is delayed. This case demonstrates the need for early suspicion of vasa previa in presence of persistent high risk features on repeated ultrasounds, importance of patient preparation with antenatal steroids as well as comprehensive education of patient regarding the warning signs and symptoms.

Downloads

How to Cite

Early Suspicion of Vasa Previa with Velamentous Umbilical Cord Insertion and Low Laying Placenta and its Management. (2013). Global Journal of Medical Research, 13(10), 13-15. https://medicalresearchjournal.org/index.php/GJMR/article/view/

Download Citation

References

V. Catanzarite (2001) Prenatal sonographic diagnosis of vasa previa: ultrasound findings and obstetric outcome in ten cases. 18(2), 109-15.

J. Hasegawa (2010) Analysis of the ultrasonographic findings predictive of vasa previa. 30(12-13), 1121-5.

Y. Derbala, F. Grochal, P. Jeanty (2007) Grochal, and P Jeanty, Vasa previa. 1(1), 2-13.

W. Lee (2000) Vasa previa: prenatal diagnosis, natural evolution, and clinical outcome. 95(4), 572-6.

M. Nomiyama, Y. Toyota, H. Kawano (1998) Toyota, and H Kawano, Antenatal diagnosis of velamentous umbilical cord insertion and vasa previa with color Doppler imaging. 12(6), 426-429.

L. Cipriano, W. Barth, G. Zaric (2010) Barth, Jr., and G.S Zaric, The cost-effectiveness of targeted or universal screening for vasa praevia at 18-20 weeks of gestation in Ontario. 117(9), 1108-1118.

E. Kanda (2011) Prenatal diagnosis and management of vasa previa: a 6-year review. 37(10), 1391-6.

R. Gagnon (2009) Guidelines for the management of vasa previa. 31(8), 748-60.

A. Lijoi, J. Brady (2003) J Brady, Vasa previa diagnosis and management. 16(6), 543-548.

N. Smorgick, et al (2010) Is neonatal risk from vasa previa preventable? The 20‐year experience from a single medical center. 38(3), 118-122.

B. Robinson (2011) W.A Grobman, Effectiveness of timing strategies for delivery of individuals with vasa previa. 117(3), 542-549.

R. Chmait (2010) Third trimester fetoscopic laser ablation of type II vasa previa. 23(5), 459-62.

R. Quintero (2007) in utero laser treatment of type II vasa previa. 20(12), 847-51.