We present the case of a patient presenting preterm in the second stage of labor. Article information, pdf download for vasa praevia. Risk factors include placenta praevia, velamentous cord insertion, bilobed placenta, succenturiate lobe, assisted reproduction and multiple. I am posting this video up as i think more awareness needs to be there. Vasa previa is an incredibly rare, but severe, complication of pregnancy.
Vasa previa is a condition marked by severe morbidity 6. Placenta praevia, placenta praevia accreta and semantic. Although early diagnosis is important, rare types non. To assess the accuracy and effectiveness of routine screening for vasa previa. Vasa praevia occurs when the fetal vessels run through the free placental membranes. These vessels are within the amniotic membranes, without the support of the placenta. I lost a baby from suffering from this condition and as it was not picked up prenatally it led to neonatal death. Diagnosis and management of vasa previa american journal of. En caul vaginal delivery with vasa previa diagnosed intrapartum in. Vasa previa refers to a situation where there are aberrant fetal vessels crossing over or in close proximity to the internal cervical os, ahead of the fetal presenting part. The smfm is a society of physicians and scientists who are dedicated to the optimization of pregnancy and perinatal outcomes.
Vasa praevia is described as the unprotected fetal vessels traversing through the placental. Handout vasa previa from the pages of by patrick s ramsey, md, msph, and dena goffman, md vasa previa is a pregnancy complication in which blood vessels from the umbilical cord lie over the cervix, an area that the baby passes through during delivery. In a planned csection, your surgeon will be able to adjust the type and placement of the incision according to where your placenta and your babys blood vessels are. Vasa previa is associated with high fetal morbidity and mortality rates. A total of 162 national health service acute trusts, which. Placenta previa, placenta accreta, and vasa previa are important causes of bleeding in the second half of pregnancy and in labor.
Vasa previa occurs when fetal blood vessels, that are unprotected by the umbilical cord or placenta, run through the amniotic membranes and traverse the cervix. In vasa previa, some of the fetal umbilical cord blood vessels run across or very close to the internal opening of the cervix. Risk factors for placenta previa include prior cesarean delivery. Semantic scholar extracted view of placenta praevia, placenta praevia accreta and by vasa praevia. The international vasa previa foundation aims to eliminate infant death from vasa previa by raising awareness and providing evidencebased information to the general public and health care professionals about the detection and management of this potentially fatal obstetric condition. The exact frequency of vasa previa is difficult to determine, but it probably occurs in 1. Prenatal diagnosis of a velamentous cord insertion associated with a vasa previa free access. These vessels may travel through the membranes or amniotic sac. If labor occurs naturally and your membranes rupture. Vasa previa diagnosis and treatment to stop stillbirth. Pdf placenta previa, placenta accreta, and vasa previa.