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

1
Natasha Gupta MD
Natasha Gupta MD
2
Mina Tirabassi RDMS
Mina Tirabassi RDMS
3
Jeff B Chapa MD
Jeff B Chapa MD
4
Ori Kushnir MD
Ori Kushnir MD
5
Josef Blankstein MD
Josef Blankstein MD
1 Mount Sinai Hospital

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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.

13 Cites in Articles

References

  1. V Catanzarite,C Maida,W Thomas,A Mendoza,L Stanco,K Piacquadio (2001). Prenatal sonographic diagnosis of vasa previa: ultrasound findings and obstetric outcome in ten cases.
  2. J Hasegawa (2010). Analysis of the ultrasonographic findings predictive of vasa previa.
  3. Y Derbala,F Grochal,P Jeanty (2007). Placenta previa, placenta accreta and vasa previa.
  4. W Lee (2000). Vasa previa: prenatal diagnosis, natural evolution, and clinical outcome.
  5. M Nomiyama,Y Toyota,H Kawano (1998). Antenatal diagnosis of velamentous umbilical cord insertion and vasa previa with color Doppler imaging.
  6. L Cipriano,W Barth,G Zaric (2010). The cost‐effectiveness of targeted or universal screening for vasa praevia at 18–20 weeks of gestation in Ontario.
  7. Eriko Kanda,Yoshio Matsuda,Masato Kamitomo,Takatsugu Maeda,Keiko Mihara,Masayuki Hatae (2011). Prenatal diagnosis and management of vasa previa: A 6‐year review.
  8. Robert Gagnon,Lucie Morin,Stephen Bly,Kimberly Butt,Yvonne Cargill,Nanette Denis,Robert Gagnon,Marja Anne Hietala-Coyle,Kenneth Lim,Annie Ouellet,Maria-Hélène Racicot,Shia Salem,Robert Gagnon,Lynda Hudon,Melanie Basso,Hayley Bos,Marie-France Delisle,Dan Farine,Kirsten Grabowska,Savas Menticoglou,William Mundle,Lynn Murphy-Kaulbeck,Annie Ouellet,Tracy Pressey,Anne Roggensack (2009). Guidelines for the Management of Vasa Previa.
  9. A Lijoi,J Brady (2003). Vasa Previa Diagnosis and Management.
  10. N Smorgick (2010). Is neonatal risk from vasa previa preventable? The 20-year experience from a single medical center.
  11. B Robinson,W Grobman (2011). Effectiveness of timing strategies for delivery of individuals with vasa previa.
  12. R Chmait (2010). Third trimester fetoscopic laser ablation of type II vasa previa.
  13. Rubén Quintero,Eftichia Kontopoulos,Patricia Bornick,Mary Allen (2007). <i>In utero</i>laser treatment of type II vasa previa.

Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

Data Availability

Not applicable for this article.

Natasha Gupta MD. 2014. \u201cEarly Suspicion of Vasa Previa with Velamentous Umbilical Cord Insertion and Low Lying Placenta and its Management\u201d. Global Journal of Medical Research - E: Gynecology & Obstetrics GJMR-E Volume 13 (GJMR Volume 13 Issue E2): .

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Journal Specifications

Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

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v1.2

Issue date

February 22, 2014

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English

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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.

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

Natasha Gupta MD
Natasha Gupta MD Mount Sinai Hospital
Mina Tirabassi RDMS
Mina Tirabassi RDMS
Jeff B Chapa MD
Jeff B Chapa MD
Ori Kushnir MD
Ori Kushnir MD
Josef Blankstein MD
Josef Blankstein MD

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