Difference between revisions of "Vasa previa"

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

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)