Clinical case of delivery of a pregnant woman with Vasa previa on the background of Placenta previa/accreta

Vasa previa is characterized by the presentation of blood vessels umbilical cord, which pass through amniotic sac over inner eye cervix or in its immediate vicinity (up to 5 cm) and are associated with cord flow front anterior part fetus.Risk factors for Previa placental pathology, particular placenta low location; membranous attachment IVF, presence an additional share dichotomous placenta, as well multiple pregnancy. Without prior diagnosis previa, fetal mortality reaches 44%, while antenatal detection survival rate up 97%.Current standard clinical practice during pregnancy obstetric risk includes assessment condition lower segment uterus using TVUS enhanced / color Doppler imaging. The use modern diagnostic methods a very important step aspect differential diagnosis, especially when structures visualized cervix.The article describes case on background Placenta accreta women burdened somatic history 4 previous surgeries pelvic organs (laparotomy). management timely delivery help medical technical support cesarean section (tranexamic acid, carbetocin, argon plasma tissue coagulation) presented. Pathology histology data confirming attached well.Thanks delivery, it was possible prevent severe complications, primarily hemorrhagic, both from fetus pregnant woman rather rare pathology form attachment, partialis.