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Published on: September 5, 2011
The association between vasa previa, multiple gestations, and assisted reproductive technology
Manisha Gandhi1, Jane Cleary-Goldman, Lauren Ferrara
1Mount Sinai School of Medicine, New York, New York 10029, USA. manisha.gandhi@mssm.edu
Patients with multiple gestations, low-lying placentas, velamentous cord insertions, and history of assisted conception should be evaluated carefully for a vasa previa. Serial surveillance for signs of preterm labor and elective cesarean delivery at 34 to 35 weeks after corticosteroids for fetal lung maturity is a reasonable management strategy for vasa previa in multiple gestations.
Patients with multiple gestations, low-lying placentas, velamentous cord insertions, and history of assisted conception should be evaluated carefully for a vasa previa. Serial surveillance for signs of preterm labor and elective cesarean delivery at 34 to 35 weeks after corticosteroids for fetal lung maturity is a reasonable management strategy for vasa previa in multiple gestations.
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