Case report

Life Threatening Vasa Praevia: Three Different Cases and Outcomes

Vladimir Blagaić ; Department of Gynecology and Obstetrics, Clinical Hospital »Sveti Duh«, Sveti Duh 64, 10 000 Zagreb, Croatia
Ivana Erceg Ivkošić ; Department of Gynecology and Obstetrics, Clinical Hospital »Sveti Duh«, Sveti Duh 64, 10 000 Zagreb, Croatia
Nenad Veček ; Department of Gynecology and Obstetrics, University Hospital Zagreb
Mario Kopljar ; Department of Surgery, Clinical Hospital Dubrava, Zagreb, Croatia
Damir Žalac ; Department of Gynecology and Obstetrics, Clinical Hospital »Sveti Duh«, Sveti Duh 64, 10 000 Zagreb, Croatia
Berivoj Mišković ; Department of Gynecology and Obstetrics, Clinical Hospital »Sveti Duh«, Sveti Duh 64, 10 000 Zagreb, Croatia

Abstract

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.

Keywords

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

Hrčak ID:

68416

URI

https://hrcak.srce.hr/68416

Publication date:

1.3.2010.

Article data in other languages: croatian

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