engleski

Life Threatening Vasa Praevia: Three Different Cases and Outcomes

Objective. To enlighten vasa praevia as a rare complication of pregnancy associated with a high rate of fetal and neonatal mortality. Early detection of this condition is crucial for planning the therapeutic approach to prevent fetal and neonatal risks. Methods and results. We report three different cases of vasa praevia: the one that was recognized during labor immediately after amniotomy, causing life threatening hemorrhage and emergency cesarean section with good neonatal outcome ; second case where vasa praevia were diagnosed in prenatal period during amnioscopy confirmed by color doppler sonography, enabling elective cesarean section with no consequences ; the third case were unrecognized vasa praevia followed by emergency cesarean section and neonatal death. Conclusion. Vasa praevia remains an unpredictable cause of fetal or neonatal death even though it can be relatively easily diagnosed in prenatal period either by color doppler sonography, amnioscopy or magnetic resonance.

vasa praevia; velamentous cord insertion; pregnancy outcome; prenatal diagnosis; color doppler sonography

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