Vasa praevia: a case report and literature review
#MMPMID28356787
Norvilait? K
; Pe?tenyt? A
; Bu?inskien? D
; Dr?sutien? G
; Arlauskien? A
; Po?kus T
; Ostapenko A
Acta Med Litu
2016[]; 23
(1
): 11-16
PMID28356787
show ga
Background. The aim of this article is to present a rare clinical case of vasa
praevia as well as to assess the relevance of the problem by reviewing the latest
literature sources. Materials and methods. In this report we present a case of a
33-year-old woman diagnosed with vasa praevia at 33 weeks of pregnancy, after
hospitalisation with preterm rupture of membranes following the delivery of a
live healthy baby through a lower segment Caesarean section during 33rd week of
gestation at Vilnius University Hospital Santari?ki? Clinics. We investigated all
the documentation of the patient before and after delivery. Results and
conclusions. Vasa praevia is a rather rare pathology which is likely to occur
during pregnancy, may result in heavy bleeding and be particularly threatening to
the fetus life. A timely diagnosis for these women is essential. The gold
standard for vasa praevia diagnosis is the fetal ultrasound scan. Vasa praevia
pathology is found during the routine second trimester ultrasound check-up. The
selection of proper tactics applied during pregnancy care is essential. At the
gestational age of 28-32, it is advisable to mature fetal lungs as well as the
fetus condition should be investigated by a perinatologist. The mode of delivery
is the C-section which tends to reduce the frequency of possible complications.
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