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Second trimester low-lying placenta and in-vitro fertilization? Exclude vasa previa
Y Oyelese1, C Spong, M A Fernandez
1Department of Obstetrics and Gynecology, Georgetown University Medical Center, Washington DC 20007, USA. YinkaMD@aol.com
The Journal of Maternal-Fetal Medicine
|March 13, 2001
Summary
Prenatal diagnosis of vasa previa is possible using transvaginal sonography and color Doppler. This supports its association with low-lying placentas and in-vitro fertilization pregnancies.
Area of Science:
- Perinatology
- Medical Imaging
- Reproductive Medicine
Background:
- Vasa previa, a rare placental condition, poses significant risks during pregnancy and delivery.
- Accurate prenatal diagnosis is crucial for effective management and improved perinatal outcomes.
Observation:
- A case of vasa previa was successfully diagnosed prenatally using transvaginal sonography and color Doppler imaging.
- The diagnosis was confirmed in the second trimester of pregnancy.
Findings:
- The case supports the established association between vasa previa and a low-lying placenta in the second trimester.
- This case also reinforces the link between vasa previa and pregnancies conceived via in-vitro fertilization (IVF).
Implications:
- Transvaginal sonography with color Doppler should be considered for routine screening in pregnancies with identified low-lying placentas.
- Enhanced vigilance for vasa previa is warranted in pregnancies resulting from assisted reproductive technologies like IVF.