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Vasa previa. A case report
1Department of Obstetrics and Gynecology, St. Elizabeth Hospital Medical Center, Youngstown, Ohio 44501-1790.
Vasa previa is a rare cause of antepartum hemorrhage, with a fetal mortality between 33% and 100%. We treated a patient in whom the diagnosis could not be made with certainty antepartum. The pregnancy out-come of seven cases of velamentous insertion, including three of vasa previa, was reviewed. Our results compared with those reported in the literature. Fetal mortality and morbidity from vasa previa can be reduced if there is a high index of suspicion, a reliable method of diagnosis and prompt surgical intervention.
Vasa previa is a rare cause of antepartum hemorrhage, with a fetal mortality between 33% and 100%. We treated a patient in whom the diagnosis could not be made with certainty antepartum. The pregnancy out-come of seven cases of velamentous insertion, including three of vasa previa, was reviewed. Our results compared with those reported in the literature. Fetal mortality and morbidity from vasa previa can be reduced if there is a high index of suspicion, a reliable method of diagnosis and prompt surgical intervention.