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Survival of twins after acute fetal hemorrhage from ruptured vasa previa
1Good Samaritan Hospital, Puyallup, Washington.
Vasa previa was suspected when sudden bleeding occurred in a twin pregnancy during an attempt to attach a scalp electrode. Shortly thereafter, we observed sustained fetal bradycardia using a portable ultrasound. Delivery was accomplished immediately with cesarean section, and an exsanguinated twin A and a normal twin B were delivered. After appropriate resuscitation and transfusion, twin A recovered, and both neonates appear normal at the age of 6 months. According to our review of the literature, this is the first reported case in which both twins survived vasa previa complicated by ruptured membranes.
Vasa previa was suspected when sudden bleeding occurred in a twin pregnancy during an attempt to attach a scalp electrode. Shortly thereafter, we observed sustained fetal bradycardia using a portable ultrasound. Delivery was accomplished immediately with cesarean section, and an exsanguinated twin A and a normal twin B were delivered. After appropriate resuscitation and transfusion, twin A recovered, and both neonates appear normal at the age of 6 months. According to our review of the literature, this is the first reported case in which both twins survived vasa previa complicated by ruptured membranes.
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