Vasa praevia: incidence, diagnosis, recommendations


Authors: Andrea Galčíková
Authors‘ workplace: Gynekologicko-porodnické oddělení nemocnice Kyjov
Published in: Prakt Gyn 2016; 20(1): 49-52
Category: Perinatology: Review Article

Overview

Objective:
To report up–to date knowledge on diagnostic methods and recommended practices for vasa praevia in pregnancy.

Study design:
Review.

Methods:
Analysis of available literature resources.

Conclusion:
Vasa praevia is among the major pregnancy complications with a low incidence. If they are not diagnosed prenatally, pose a high risk to the fetus. Early prenatally established diagnosis significantly decrease perinatal morbidity and mortality of the newborn. The diagnostic method of choice is ultrasound scan using colour Doppler image. In the case of diagnosis of vasa praevia prenatally, it is recommended termination of the pregnancy by elective cesarean section before the onset of labor activity or rupture of membranes.

Key words:
antenatal ultrasound diagnosis – morbidity and mortality of newborn –vasa praevia


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Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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