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Case report of recurrent vasa previa.
Michelle J Wang1,2, Cassandra R Duffy1,2,3, Yinka Oyelese1,2,3
1Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology Beth Israel Deaconess Medical Center Boston Massachusetts USA.
Australasian Journal of Ultrasound in Medicine
|January 28, 2025
Summary
Vasa previa, a rare pregnancy complication, may recur in subsequent pregnancies. This case highlights the importance of screening for vasa previa in future pregnancies to improve outcomes.
Area of Science:
- Maternal-Fetal Medicine
- Obstetrics
- Reproductive Medicine
Background:
- Vasa previa affects approximately 1:1200 pregnancies.
- Undiagnosed vasa previa is linked to significant perinatal mortality.
- Vasa previa is typically considered sporadic with a negligible recurrence risk.
Purpose of the Study:
- To present a case of recurrent vasa previa.
- To emphasize the need for screening in subsequent pregnancies.
Main Methods:
- Transvaginal ultrasound was used for diagnosis.
- Case presentation of a patient with recurrent vasa previa.
Main Results:
- A 42-year-old patient experienced vasa previa in two consecutive pregnancies.
- The condition was diagnosed via transvaginal ultrasound in both instances.
- An urgent cesarean was required in the first pregnancy; an uncomplicated repeat cesarean was performed in the second.
Conclusions:
- Patients with a history of vasa previa may have an increased risk of recurrence.
- Screening for vasa previa in future pregnancies is recommended.
- Further research is needed to identify risk factors for vasa previa recurrence.
