Concomitant spontaneous chorioamniotic membrane separation, velamentous cord insertion and vasa previa

Abstract

Letters to the Editor Concomitant spontaneous chorioamniotic membrane separation, velamentous cord insertion and vasa previaMisdiagnosis and/or mismanagement of vasa previa can result in significant fetal compromise, including death 1 . Associated factors, such as chorioamniotic membrane separation, might increase this risk. We present a unique case of a woman who had vasa previa due to a velamentous cord insertion and concurrent significant spontaneous chorioamniotic separation.A 28-year-old woman with a singleton pregnancy and history of two prior uncomplicated full-term vaginal deliveries was evaluated at 20 weeks of gestation. The ultrasound scan showed normal fetal anatomy and

Fetal membrane imaging: current and future perspectives—a review

“…After 16 weeks of pregnancy, any CMS is considered abnormal ( Qi et al, 2020 ). Many studies and case reports indicate that CMS is related to adverse clinical outcomes, such as premature rupture of membranes and fetal extremity deformities ( Frigo et al, 1996 ; Graf et al, 1997 ; Frigo et al, 1998 ; Wilson et al, 2003 ; Kim et al, 2007 ; Nunes et al, 2016 ; Soni et al, 2016 ; Ghose et al, 2021 ). In addition to spontaneous CMS, such separation can also occur after fetal surgery and amniocentesis ( Sydorak et al, 2002 ; Soni et al, 2016 ).…”

“…Ultrasound remains the predominant imaging modality employed in obstetrics, extensively utilized to visualize fetal membranes and investigate the association between FM abnormalities and perinatal fetal clinical outcomes across a multitude of studies ( Kaufman et al, 1985 ; Graf et al, 1997 ; Lewi et al, 2004 ; Severi et al, 2008 ; Schlehe et al, 2014 ; Gerson et al, 2019 ; Ghose et al, 2021 ). Magnetic resonance imaging (MRI) is also used to image the FMs, investigations in this domain remain relatively scarce ( Qi et al, 2020 ).…”