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
+
==Risk Factors==
# also caused by extra lobe on placnta
+
#Placenta previa
 +
#IVF
 +
#Bilobed placenta
  
 
==Diagnosis==
 
==Diagnosis==
# suspect of mother with min vag bleeding and no pain, no contractions, no mat symptoms but fetus with signficant distress
+
*Painless bleeding occurs during SROM
 +
**Fetal in origin (mother's life is not at risk)
 +
**May lead to fetal exsanguination
  
 
==Treatment==
 
==Treatment==
c-section
+
C-section
 +
 
 +
==Source==
 +
Tintinalli
  
 
[[Category:OB/GYN]]
 
[[Category:OB/GYN]]

Revision as of 01:31, 25 August 2011

Background

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

Risk Factors

  1. Placenta previa
  2. IVF
  3. Bilobed placenta

Diagnosis

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

Treatment

C-section

Source

Tintinalli