A case of vasa previa diagnosed prenatally, and review of the literature

Komatsu, Akira; Kozuma, Shiro; Shiro, Yoshitsugu; Hyodo, Hironobu; Yamashita, Takahiro; Kamei, Yoshimasa; Fujii, Tomoyuki; Taketani, Yuji

doi:10.1007/s10396-010-0287-2

Cited by 3 publications

(3 citation statements)

References 27 publications

(31 reference statements)

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“…Bipartite placenta might be a cause of cesarean section if one placenta half covers the internal cervical os, 8,9 or if there is APH, as in our case where placenta abruption is explained by the presence of MCI. 4 Postpartum hemorrhage is also possible if there is retention of one placenta half after childbirth.…”

Section: Discussionmentioning

confidence: 74%

Marginal umbilical cord insertions in a bipartite placenta responsible for placenta abruption: a case report

Nkwabong¹,

Borassi²

2021

OGIJ

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Hemorrhage is one of the major causes of maternal death. Main causes of APH are placenta previa, placenta abruption and uterine rupture. Rare causes of placenta abruption include marginal and velamentous umbilical cord insertions. We hereby present a case of placenta abruption due to marginal umbilical cord insertions occurring on a bipartite placenta. A 40-year-old nulliparous African woman, 35 weeks pregnant consulted for dark red pervaginal bleeding, which occurred recently. Past history was unremarkable. Her pregnancy was well followed up. A recent ultrasound scan revealed a fundal inserted placenta. Physical examination revealed a fundal height of 37 cm, no uterine activity, normal fetal heart tones and a blood-stained vulva. Our diagnosis was a mild placenta abruption. An obstetrical ultrasound carried out revealed a normal pregnancy and a retroplacental blood clot of 11mm. A safe baby was born through an emergency cesarean section which revealed a normally inserted bipartite placenta with a 10% placenta detachment located on one placenta half and two cords inserted marginally. The postoperative period was uneventful and she was discharged five days after cesarean section. This case report shows that marginal cord insertion, which can lead to placenta abruption, can be also observed on a bipartite placenta.

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Section: Discussionmentioning

confidence: 74%

Marginal umbilical cord insertions in a bipartite placenta responsible for placenta abruption: a case report

Nkwabong¹,

Borassi²

2021

OGIJ

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“…- Obstetrics Systematic Review Bohiltea 13 2 Datta 14 1 Iwahashi 15 1 Norvilaite 16 1 Van Steenis 17 1 Zhang 18 1 Hasegawa 19 21 Hasegawa 20 12 Breborowicz 21 1 Habek 22 1 Hosseinzadeh 23 1 Keunen 24 1 Saghir 25 1 Siminel 26 1 Rebarber 27 31 Javid 28 11 (qualitative research study) Kapoor 29 2 Zhang 30 1 Bronsteen 31 60 Golic 32 18 Gibson 33 1 Johnston 34 1 Neuhausser 35 1 Prince 36 1 Zahumensky 37 1 Hasegawa 38 10 Carnide 39 1 Garretto 40 1 Robinson 41 Clinical decision analysis Kanda 42 10 Hasegawa 43 3 Kikuchi 44 1 Komatsu 45 1 Kuwata 46 1 Markham 47 1 Pirtea 48 1 Cipriano 49 Cost-utility analysis Year First author Included pregnancies (n) Hertzberg 89 2 Nomiyama 90 2 Sauerbrei 91 2 Chen 92 1 Nwagbara 93 1 Clerici 94 1 Daly-Jones 95 1 Devesa 96 1 Fleming 97 1 Schellpfeffer…”

Section: Systematic Review Obstetricsmentioning

confidence: 99%

Variations in reported outcomes in studies on vasa previa: a systematic review

Villani

Pavalagantharajah

D’Souza

2020

American Journal of Obstetrics & Gynecology MFM

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“…Vasa previa usually occurs in association with a low-lying placenta, which often presents at the routine second trimester ultrasound screenings, a bilobate or succenturiate placenta, a velamentous insertion of the umbilical cord, multiple pregnancy and pregnancies conceived after the use of assisted reproductive technologies 3 4 6…”

Section: Introductionmentioning

confidence: 99%

Twin pregnancy complicated by vasa previa

et al. 2012

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SummaryPerinatal morbidity and mortality rates for vasa previa are high when it is not diagnosed antenatally. In this report, a case of vasa previa in a twin pregnancy was diagnosed postnatally, which leads to complications with the first twin. Serial ultrasound during pregnancy did not diagnose a bilobed placenta, a velamentous insertion of the umbilical cord or vasa previa. At 37 weeks, vaginal bleeding was detected in the expulsive stage and vaginal-assisted delivery of both fetuses was undertaken. The first fetus was born pale and anaemic, and required a blood transfusion and therapeutic hypothermia. A high risk of vasa previa is associated with placentas with low-lying insertion, bilobed placentas, velamentous insertions of the umbilical cord, multiple pregnancy and pregnancies conceived after the use of assisted reproductive technologies. Transvaginal ultrasound screening with colour flow Doppler can allow antenatal diagnoses of vasa previa and an improved outcome. BACKGROUND

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A case of vasa previa diagnosed prenatally, and review of the literature

Cited by 3 publications

References 27 publications

Marginal umbilical cord insertions in a bipartite placenta responsible for placenta abruption: a case report

Marginal umbilical cord insertions in a bipartite placenta responsible for placenta abruption: a case report

Variations in reported outcomes in studies on vasa previa: a systematic review

Twin pregnancy complicated by vasa previa

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