%0 Journal Article
%T Rotura de vasa previa: a prop車sito de un caso
%A Pastor Galicia
%A Yoly Quintero
%A Thatiana D赤az
%J Revista de Obstetricia y Ginecolog赤a de Venezuela
%D 2005
%I Sociedad de Obstetricia y Ginecolog赤a de Venezuela
%X Vasa previa es una condici車n rara vez reportada, en la cual, vasos sangu赤neos aberrantes procedentes de la placenta o del cord車n umbilical, cruzan la entrada del canal del parto por delante de la presentaci車n. Ocurre en 1:3000 nacimientos, con una elevada mortalidad perinatal. Se presenta el caso de una mult赤para de 38 a os de edad, quien ingres車 con diagn車stico de hemorragia genital del III trimestre. Se program車 ces芍rea de urgencia obteniendo neonato vivo femenino a t谷rmino y Apgar de 8 puntos al 1o minuto. Como hallazgo de la intervenci車n destaca placenta f迆ndica normoinserta con rotura de vasa previa. Madre y neonato fueron alojados conjuntamente en maternidad con una evoluci車n intrahospitalaria satisfactoria. Se concluye que el diagn車stico y la conducta oportuna, dar芍n lugar a resultados satisfactorios, logrando disminuir notablemente la mortalidad por esta rara pero igualmente letal entidad cl赤nica. Vasa previa is a rarely condition in which, aberrant blood vessels coming from the placenta or the umbilical cord, cross the entrance of the childbirth channel before presentation. It happens in 1:3000 births, with a high perinatal mortality. A case of a 38 years-old multigravida is reported who entered to the hospital with diagnostic of third trimester genital bleeding. Cesarean section was performed obtaining a term female alive newborn with 8 points from Apgar scale at the first minute. As discovery of the intervention it highlights normal-insert and fundical placenta with vasa previa rupture. Mother and newborn were housed jointly in maternity room with a successful evolution. It concludes that a diagnosis and an opportune behavior, they will give place to satisfactory results, being able to diminish the mortality notably for this strange but equally lethal clinical entity.
%K Rotura de vasa previa
%K Placenta   cord車n umbilical
%K Embarazo  Sangramiento genital
%K Ces芍rea
%K Vasa previa rupture
%K Placenta   Umbilical
%K Pregnancy Vaginal
%K genital bleeding
%K Cesarean section
%U http://wwww.scielo.org.ve/scielo.php?script=sci_arttext&pid=S0048-77322005000100004