A close call: does the location of incision at cesarean delivery matter in patients with vasa previa? A case report.
نویسندگان
چکیده
We present here a case of vasa previa in a multipara, diagnosed at the time of her late second trimester ultrasonogram. The patient subsequently underwent an elective cesarean section after 37 weeks gestation, giving birth to a healthy child with an uneventful post-partum, neonatal and infant course. At the time of cesarean section, the incision was gradually deepened in layers through the myometrium by utmost care allowing the amniotic sac to protrude through the uterine incision hereby avoiding laceration of the vasa previa and its branches. Fetal exsanguination and a need for blood transfusion as well as a possible adverse neonatal course were therefore avoided.
منابع مشابه
Do All Cases of Vasa Previa Need Cesarean Delivery? A case Report and Review of the Literatures
Vasa previa (VP) is defined as fetal vessels unsupported by either placenta or umbilical cord coursing within the membranes in close proximity to the internal cervical os [1]. The membranous fetal vessels can either lead from the placenta to a velamentous cord insertion (type 1) or connect the main bulk of the placenta to a succenturiate lobe (type 2) [2]. The localization of the membranous fet...
متن کاملDo All Cases of Vasa Previa Need Cesarean Delivery? A case Report and Review of the Literatures
Vasa previa (VP) is defined as fetal vessels unsupported by either placenta or umbilical cord coursing within the membranes in close proximity to the internal cervical os [1]. The membranous fetal vessels can either lead from the placenta to a velamentous cord insertion (type 1) or connect the main bulk of the placenta to a succenturiate lobe (type 2) [2]. The localization of the membranous fet...
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Placenta previa totalis can cause life-threatening massive postpartum hemorrhage, and careful anesthetic management is essential. Preventive uterine artery embolization (UAE) before placental expulsion was introduced to reduce postpartum bleeding in cases of placenta previa totalis. We describe the case of a 40-year-old woman (gravida 0, para 0) with placenta previa totalis and uterine myomas w...
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OBJECTIVE To demonstrate the safety of fetal delivery through placental incision in a placenta previa pregnancy. METHODS We examined the medical records of 80 women with singleton pregnancy diagnosed with placenta previa who underwent cesarean section between May 2010 and May 2015 at the Department of Obstetrics and Gynecology, Chungbuk National University Hospital. Among the women with place...
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