2023
DOI: 10.1097/aog.0000000000005296
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Perinatal Mortality Despite Prenatal Diagnosis of Vasa Previa

Abstract: OBJECTIVE: To determine the causes and potential preventability of perinatal deaths in prenatally identified cases of vasa previa. DATA SOURCES: Reports of prenatally identified cases of vasa previa published in the English language literature since 2000 were identified in Medline and ClinicalTrials.gov with the search terms “vasa previa,” “abnormal cord insertion,” “velamentous cord,” “marginal cord,” “bilobed placenta,” and “succenturiate lobe.” … Show more

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Cited by 4 publications
(6 citation statements)
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“…Although planned late preterm birth is reasonable in patients with singleton pregnancies, this strategy is unworkable in those with twins, because most patients with twin pregnancies will have unscheduled deliveries, with the attendant risks, before 34 weeks of gestation. 1 Prenatal diagnosis of vasa previa has vastly improved outcomes of singleton pregnancies, and patients can be optimistic, although these pregnancies remain at risk and we must be cautious about becoming complacent. The optimal management for twin pregnancies remains unclear but will have the largest effects on mortality related to vasa previa.…”
Section: Guidelines For Letters Letters Posing a Question Or Challeng...mentioning
confidence: 99%
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“…Although planned late preterm birth is reasonable in patients with singleton pregnancies, this strategy is unworkable in those with twins, because most patients with twin pregnancies will have unscheduled deliveries, with the attendant risks, before 34 weeks of gestation. 1 Prenatal diagnosis of vasa previa has vastly improved outcomes of singleton pregnancies, and patients can be optimistic, although these pregnancies remain at risk and we must be cautious about becoming complacent. The optimal management for twin pregnancies remains unclear but will have the largest effects on mortality related to vasa previa.…”
Section: Guidelines For Letters Letters Posing a Question Or Challeng...mentioning
confidence: 99%
“…We thank Dr. Heyborne 1 for his important systematic review of perinatal mortality in prenatally diagnosed vasa previa in the September 2023 issue, which we read with great interest. We previously published a similar systematic review and meta-analysis that was prospectively registered with PROS-PERO in which we obtained patientlevel data from the authors.…”
mentioning
confidence: 99%
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