Management of vasa previa during pregnancy
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Junichi Hasegawa
,
Tatsuya Arakaki
Abstract
In order to prevent fetal mortality due to vasa previa, it is neceesary to obtain an antenatal diagnosis and perform elective cesarean section prior to membrane rupture. Under present circumstances, management strategies for vasa previa depend on each institutional policy. In our institution, patients are not routinely admitted, although precise outpatient management, including confirming the presence of uterine contractions and monitoring the cervical length, fetal growth and fetal heart rate, is provided for pregnant females with vasa previa. In the present report, we reviewed 21 cases of vasa previa managed at our hospital. Some 71% (15/21) of them were required inpatient management due to its complications, resulting in emergency delivery in about half of them. Therefore, our results suggest that only carefully selected asymptomatic patients may be successfully managed as outpatients.
References
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[2] Hasegawa J, Nakamura M, Ichizuka K, Matsuoka R, Sekizawa A, Okai T. Vasa previa is not infrequent. J Matern Fetal Neonatal Med. 2012;25:2795–6.10.3109/14767058.2012.712570Suche in Google Scholar PubMed
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The authors stated that there are no conflicts of interest regarding the publication of this article.
©2015 by De Gruyter
Artikel in diesem Heft
- Frontmatter
- Editorial
- Maternal risk: assessment and management
- Original articles – Obstetrics
- Ebola virus screening during pregnancy in West Africa: unintended consequences
- Strain at the internal cervical os assessed with quasi-static elastography is associated with the risk of spontaneous preterm delivery at ≤34 weeks of gestation
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- Original articles – Fetus
- Perinatal outcome of congenital heart disease in a population with high consanguinity
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- Original articles – Newborn
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- Suctioning habits in the delivery room and the influence on postnatal adaptation – a video analysis
- Short communications
- Management of vasa previa during pregnancy
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- Congress Calendar
- Congress Calendar
Artikel in diesem Heft
- Frontmatter
- Editorial
- Maternal risk: assessment and management
- Original articles – Obstetrics
- Ebola virus screening during pregnancy in West Africa: unintended consequences
- Strain at the internal cervical os assessed with quasi-static elastography is associated with the risk of spontaneous preterm delivery at ≤34 weeks of gestation
- Can routine laboratory parameters predict adverse pregnancy outcomes in intrahepatic cholestasis of pregnancy?
- Pulmonary edema in pregnancy and the puerperium: a cohort study of 53 cases
- Incidence and outcomes of women with Hodgkin’s lymphoma in pregnancy: a population-based study on 7.9 million births
- Differential utilization of expanded genetic screening tests in patients of reproductive ages from private and academic practices
- Association of maternal blood pressure in pregnancy with blood pressure of their offspring through adolescence
- Oxytocin utilization for labor induction in obese and lean women
- Breech delivery in the all fours position: a prospective observational comparative study with classic assistance
- Position at birth as an important factor for the occurrence of anal sphincter tears: a retrospective cohort study
- Emergency peripartum hysterectomy and risk factors by mode of delivery and obstetric history: a 10-year review from Helsinki University Central Hospital
- Delivery outcomes after day and night onset of labour
- Original articles – Fetus
- Perinatal outcome of congenital heart disease in a population with high consanguinity
- Complex and irregular heart rate dynamics in fetuses compromised by maternal anemia as a high-risk pregnancy
- Clinical application of fetal left modified myocardial performance index in the evaluation of fetal growth restriction
- First-trimester fetal growth discordance and development of preeclampsia in dichorionic twin pregnancies
- Original articles – Newborn
- Neonatal outcome in pregnant patients with antiphospholipid syndrome
- A longitudinal study of brainstem auditory response from birth to late term in late preterm babies and abnormal findings in high-risk babies
- Suctioning habits in the delivery room and the influence on postnatal adaptation – a video analysis
- Short communications
- Management of vasa previa during pregnancy
- Uterine rupture after the uterine fundal pressure maneuver
- Congress Calendar
- Congress Calendar
