Guidelines for the Management of Vasa Previa

Gagnon, Robert; Morin, Lucie; Bly, Sara; Butt, Kimberly; Cargill, Yvonne; Denis, Nathalie; Hietala-Coyle, Marja Anne; Lim, Kenneth; Ouellet, Annie; Racicot, Maria-Hélène; Salem, Shia; Hudon, Lynda; Basso, Melanie; Bos, Hayley; Delisle, Marie-France; Farine, Dan; Grabowska, Kirsten; Menticoglou, Savas; Mundle, William; Murphy-Kaulbeck, Lynn; Pressey, Tracy; Roggensack, Anne

doi:10.1016/j.ijgo.2009.09.011

Cited by 54 publications

(57 citation statements)

References 32 publications

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“…49 Urgent cesarean delivery should be accomplished in cases of vaginal bleeding with suspected vasa previa. 23,52 Another area of uncertainty is the need for hospitalization. Inpatient management theoretically allows for timely delivery in cases of bleeding, rupture of membranes, or labor and could be lifesaving.…”

Section: Managementmentioning

confidence: 99%

Abnormal Placentation

Silver¹

2015

Obstetrics &Amp; Gynecology

416

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Placental disorders such as placenta previa, placenta accreta, and vasa previa are all associated with vaginal bleeding in the second half of pregnancy. They are also important causes of serious fetal and maternal morbidity and even mortality. Moreover, the rates of previa and accreta are increasing, probably as a result of increasing rates of cesarean delivery, maternal age, and assisted reproductive technology. The routine use of obstetric ultrasonography as well as improving ultrasonographic technology allows for the antenatal diagnosis of these conditions. In turn, antenatal diagnosis facilitates optimal obstetric management. This review emphasizes an evidence-based approach to the clinical management of pregnancies with these conditions as well as highlights important knowledge gaps.

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Section: Managementmentioning

confidence: 99%

Abnormal Placentation

Silver¹

2015

Obstetrics &Amp; Gynecology

416

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“…These risk factors are represented by: the placenta inserted low, bipartita and multilobulate, aberrant cotyledon and the velamentous cord insertion (Carbonnel et al, 2007;Chmait et al, 2010;Gagnon et al, 2010). Indeed, in the presence of a velamentous y insertion of the cord associated with a placenta praevia, the incidence of vasa praevia is estimated at 1/50 (Hasegawa et al, 2011;Nishtar and Wood, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, in the presence of a velamentous y insertion of the cord associated with a placenta praevia, the incidence of vasa praevia is estimated at 1/50 (Hasegawa et al, 2011;Nishtar and Wood, 2012). Moreover, in many authors, in vitro fertilization (IVF) would be a risk factor, since it multiplies the risk by ten (Baulies et al, 2007;Chmait et al, 2010;Cipriano et al, 2010;Gagnon et al, 2010;Hasegawa et al, 2011;Nishtar and Wood, 2012). Of these, it would be desirable to carry out systematic screening in patients with risk factors.…”

Section: Discussionmentioning

confidence: 99%

Benckiser Haemorrhage Reverouble Delivery Complication

Ragmoun¹,

Daadoucha²,

Benhlima³

et al. 2017

ijccr

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Benckiser haemorrhage is a severe obstetrical urgency putting at risk the vital foetal prognosis with exsanguination. It is a common complication of velamentous cord insertion. It is revealed by bleeding concomitant with the rupture of membranes. Thanks to the Colour Doppler ultrasound progress, prenatal diagnosis is possible, allowing evacuating the foetus by prophylactic caesarean section. We report a new case of Benckiser haemorrhage in a pupiparous revealed by acute foetal suffering with favourable evolution. A review of literature allowed us to specify the diagnosis aspects and the treatment modalities in such a disease.

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“…Expert opinion recommends timing delivery for vasa previa by C-section delivery is at 35-36 weeks [6] to avoid labor and potential rapid exsanguination. Furthermore, steroids at 28 weeks are suggested based on the higher rate of preterm delivery with vasa previa as well as hospitalization from 32 weeks onwards for quick delivery in case of vaginal bleeding [2].…”

Section: Discussionmentioning

confidence: 99%

En caul vaginal delivery with vasa previa diagnosed intrapartum

Groen

Zaharieva

McCartan

et al. 2014

Case Reports in Perinatal Medicine

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Background: Vasa previa is a condition fraught with severe morbidity when undiagnosed at time of delivery. Case: A 25-year-old G4P2012 presented with preterm labor at 27 weeks. She was fully dilated and with the first push two independent vessels were coursing over the membranes; vasa previa was diagnosed. The patient pushed through two contractions to deliver a vigorous fetus en caul. The neonate did well, not requiring any blood transfusions during its neonatal stay for prematurity, and was seen for a well-child examination 4 months later, doing well. Conclusion: The mode of delivery for a known vasa previa is a planned Cesarean section (C-section), however if vasa previa is encountered in the labor room with quick progression of the second stage an en caul delivery could be considered.

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Guidelines for the Management of Vasa Previa

Abstract: The Society of Obstetricians and Gynaecologists of Canada.

Cited by 54 publications

References 32 publications

Abnormal Placentation

Abnormal Placentation

Benckiser Haemorrhage Reverouble Delivery Complication

En caul vaginal delivery with vasa previa diagnosed intrapartum

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