Difference between revisions of "Vasa previa"

 
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==Background==
 
==Background==
#painless bleeding from fetal origin
+
*Fetal blood vessels from the umbilical cord run in close proximity to cervical os
#mother's life not in danger
+
**Seldom recognized prior to vessel disruption
#defect in placental formation
 
# umbilical vessels travel through placental membranes unsupported by other placental tissue
 
# also caused by extra lobe on placnta
 
  
==Diagnosis==
+
===Risk Factors===
# suspect of mother with min vag bleeding and no pain, no contractions, no mat symptoms but fetus with signficant distress
+
*[[Placenta previa]]
 +
*IVF
 +
*Bilobed placenta
  
==Treatment==
+
==Evaluation==
c-section
+
*Painless [[vaginal bleeding in pregnancy (greater than 20wks)|bleeding]] occurs during spontaneous rupture of membranes
 +
**Fetal in origin (mother's life is not at risk)
 +
**May lead to fetal exsanguination
  
[[Category:OB/GYN]]
+
==Differential Diagnosis==
 +
 
 +
{{VB DDX greater than 20}}
 +
 
 +
==Evaluation==
 +
 
 +
==Management==
 +
*C-section
 +
 
 +
==Disposition==
 +
*Admit
 +
 
 +
==See Also==
 +
*[[Pregnant vaginal bleeding]]
 +
 
 +
==References==
 +
<references/>
 +
 
 +
 
 +
==See Also==
 +
[[Vaginal Bleeding (Main)]]
 +
 
 +
[[Category:OBGYN]]

Latest revision as of 18:44, 4 October 2019

Background

  • Fetal blood vessels from the umbilical cord run in close proximity to cervical os
    • Seldom recognized prior to vessel disruption

Risk Factors

Evaluation

  • Painless bleeding occurs during spontaneous rupture of membranes
    • Fetal in origin (mother's life is not at risk)
    • May lead to fetal exsanguination

Differential Diagnosis

Vaginal Bleeding in Pregnancy (>20wks)

Evaluation

Management

  • C-section

Disposition

  • Admit

See Also

References


See Also

Vaginal Bleeding (Main)