Vasa previa in singleton pregnancies: diagnosis and clinical management based on an international expert consensus

Oyelese, Yinka; Javinani, Ali; Gudanowski, Brittany; Krispin, Eyal; Rebarber, Andrei; Akolekar, Ranjit; Catanzarite, Val; D’Souza, Rohan; Bronsteen, Richard; Odibo, Anthony; Scheier, Matthias A.; Hasegawa, Junichi; Jauniaux, Eric; Lees, Christoph; Srinivasan, Deepa; Daly-Jones, Elizabeth; Duncombe, Gregory; Melcer, Yaakov; Maymon, Ron; Silver, Robert; Prefumo, Federico; Tachibana, Daisuke; Henrich, Wolfgang; Cincotta, Robert; Shainker, Scott A.; Ranzini, Angela C.; Roman, Ashley S.; Chmait, Ramen; Hernandez-Andrade, Edgar A.; Rolnik, Daniel L.; Sepulveda, Waldo; Shamshirsaz, Alireza A.

doi:10.1016/j.ajog.2024.03.013

American Journal of Obstetrics and Gynecology

2024

DOI: 10.1016/j.ajog.2024.03.013

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Vasa previa in singleton pregnancies: diagnosis and clinical management based on an international expert consensus

Yinka Oyelese,

Ali Javinani,

Brittany Gudanowski

et al.

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2024

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Cited by 8 publications

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Case report of recurrent vasa previa

Wang,

Duffy,

Oyelese

2024

Australas J Ultrason Med

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IntroductionVasa previa is a complication of pregnancy, which affects approximately 1:1200 pregnancies, and when undiagnosed prenatally, it can be associated with significant perinatal mortality. This condition is thought to be a sporadic entity without known genetic or familial associations and thus considered to carry a negligible recurrence risk.Key FindingsWe present a case of a 42‐year‐old gravida 3 para 2 diagnosed on transvaginal ultrasound with a vasa previa at 34 weeks associated with vaginal bleeding, which required an urgent caesarean in a prior spontaneous pregnancy. In the current pregnancy conceived with in vitro fertilisation, she was again diagnosed with a vasa previa at 30 weeks’ gestation at transvaginal ultrasound. She ultimately delivered at 37 weeks’ gestation via an uncomplicated repeat caesarean.DiscussionPatients with vasa previa in one pregnancy may be at risk for recurrence in subsequent pregnancy and thus should be screened in future pregnancies. Further research should be done to explore and identify any risk factors for recurrence of vasa previa.

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Case report of recurrent vasa previa

Wang,

Duffy,

Oyelese

2024

Australas J Ultrason Med

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Monitoring and management of hemolytic disease of the fetus and newborn based on an international expert Delphi consensus

Mustafa,

Sambatur,

Shamshirsaz

et al. 2024

American Journal of Obstetrics and Gynecology

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Placenta Previa

Oyelese,

Shainker

2024

Clinical Obstetrics &Amp; Gynecology

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Placenta previa is an important and potentially life-threatening cause of bleeding. Historically, it was a major contributor to maternal mortality until advancements in obstetric care, including prenatal ultrasound, cesarean delivery, and transfusion medicine, drastically improved outcomes. Today, placenta previa is typically identified during routine second-trimester ultrasound, with the overwhelming majority of cases resolving before term. Key risk factors include prior cesarean delivery, advanced maternal age, and smoking. When placenta previa is diagnosed, it is essential to assess for associated conditions like placenta accreta and vasa previa. A planned cesarean delivery is recommended in cases that persist into the late third trimester.

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Vasa previa in singleton pregnancies: diagnosis and clinical management based on an international expert consensus

Cited by 8 publications

References 60 publications

Case report of recurrent vasa previa

Case report of recurrent vasa previa

Monitoring and management of hemolytic disease of the fetus and newborn based on an international expert Delphi consensus

Placenta Previa

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