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Related Experiment Videos

[Vasa previa: one case].

M Carbonnel1, A Tigaizin, L Carbillon

  • 1Service de gynécologie-obstétrique, hôpital Jean-Verdier (APHP), université Paris-XIII, avenue du 14-Juillet, 93143 Bondy cedex, France. m.car@caramail.com

Gynecologie, Obstetrique & Fertilite
|March 6, 2007
PubMed
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Vasa previa, a rare condition, can cause fetal hemorrhage after membrane rupture. This case highlights a delayed hemorrhage 12 hours post-rupture, emphasizing the need for prenatal diagnosis in high-risk pregnancies.

Area of Science:

  • Obstetrics and Gynecology
  • Fetal Medicine
  • Maternal-Fetal Medicine

Background:

  • Vasa previa is a rare obstetric condition with a prevalence of 1 in 2000 to 5000 births.
  • It involves fetal blood vessels running near the internal cervical os, unprotected by placental tissue or Wharton's jelly.
  • Rupture of membranes can lead to fetal exsanguination (Benckiser's hemorrhage).

Observation:

  • This report details an unusual case of vasa previa with a delayed Benckiser's hemorrhage occurring 12 hours after membrane rupture.
  • The case underscores the potential for delayed fetal bleeding even after initial membrane integrity is compromised.

Findings:

  • Key risk factors for vasa previa include low-lying placenta, bilobate or succenturiate placenta, velamentous umbilical cord insertion, and in vitro fertilization.

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  • Prenatal diagnosis is crucial in identifying these risk factors.

    • Implications:

    • Early prenatal diagnosis of vasa previa is vital for timely intervention and improved fetal outcomes.
    • The findings support considering universal screening protocols for vasa previa in high-risk pregnancies.
    • This case highlights the importance of vigilance for delayed fetal hemorrhage post-membrane rupture.