Vasa previa is a rare obstetric complication, characterized by fetal umbilical cord blood vessels being unprotected by Wharton’s jelly or placental tissue and located within 20 mm of the internal cervical os. This case describes a late pregnancy antepartum hemorrhage that was promptly treated with a cesarean section. During the surgery, a ruptured vasa previa was found, and fortunately, the rupture was blocked by a clot, resulting in minimal blood loss. Both mother and baby had a good outcome. The case is used to elaborate on the high-risk factors, classification, diagnostic methods, and treatment plans for vasa previa, aiming to increase the detection rate of this condition and manage it systematically, ultimately improving perinatal outcomes.
References
[1]
Pan, X., Yan, C., Zhong, J., et al. (2022) The Clinical Characteristics of Anterior Blood Vessels with Low Placenta. Chinese Journal of Perinatal Medicine, 25, 925-932.
[2]
Huang, H. (2014) One Case of Placenta Previa Combined with Umbilical Cord Velar Attachment and Rupture of Anterior Blood Vessels. JournalofPracticalObstetricsandGynecology, 30, 76-77.
[3]
Jain, V. and Gagnon, R. (2023) Guideline No. 439: Diagnosis and Management of Vasa Previa. Journal of Obstetrics andGynaecology Canada, 45, 506-518. https://doi.org/10.1016/j.jogc.2023.05.009
[4]
Suekane, T., Tachibana, D., Pooh, R.K., Misugi, T. and Koyama, M. (2020) Type‐3 Vasa Previa: Normal Umbilical Cord Insertion Cannot Exclude Vasa Previa in Cases with Abnormal Placental Location. UltrasoundinObstetrics&Gynecology, 55, 556-557. https://doi.org/10.1002/uog.20347
[5]
Ioannou, C. and Wayne, C. (2010) Diagnosis and Management of Vasa Previa: A Questionnaire Survey. Ultrasound in Obstetrics & Gynecology, 35, 205-209. https://doi.org/10.1002/uog.7466
[6]
Li, S., Chen, X. and Wen, H. (2011) Prenatal Ultrasound Screening and Diagnosis of Vascular Previa. Chinese Journal of Medical Ultrasound (Electronic Version), 8, 719-729.
[7]
Liu, X., Bai, Y. and Zhou, R. (2014) Progress in the Diagnosis and Treatment of Anterior Vessels. Chinese Journal of Perinatal Medicine, 17, 212-215.
[8]
Gu, L., Jie, J.X., et al. (2016) The Clinical Application Value of Prenatal Ultrasound in Diagnosing Vascular Previa. Anhui Medicine, 37, 50-52.
[9]
Wang, M., Su, H., Liu, Y., etal. (2016) Clinical Evaluation of Ultrasound Screening for Abnormal Placental Umbilical Cord Entry Position during Pregnancy. Journal of Practical Hospital Clinical Practice, 13, 96-98.
[10]
Li, Y. and Wang, J. (2017) Analysis of Misdiagnosis and Misdiagnosis of Umbilical Cord Vascular Preposition Ultrasound Ⅱ. Journal of Jinzhou Medical University, 38, 51-53.
[11]
Huang, H., Tian, X., Li, X., et al. (2015) Prenatal Ultrasound Diagnosis 11 Case of Vasa Previa in Pregnant Women. Chinese Journal of Eugenics and Genetics, 23, 67-68, 93.
[12]
Li, X. and Yue, H. (2023) A Case of Velamentous Umbilical Cord Insertion with Vasa Praeviaand Literature Review. Medical Diagnosis, 13, 177-181. https://doi.org/10.12677/md.2023.132030
[13]
Chen, J.G., Liu, J. and Huang, X. (2016) Clinical Diagnosis and Treatment Analysis of Umbilical Cord Velar Attachment with Prepositioned Blood Vessels. Clinical Misdiagnosis &Mistherapy, 29, 72-74.
[14]
Gyamfi-Bannerman, C. (2018) Society for Maternal-Fetal Medicine (SMFM) Consult Series #44: Management of Bleeding in the Late Preterm Period. AmericanJournalofObstetricsandGynecology, 218, B2-B8. https://doi.org/10.1016/j.ajog.2017.10.019
[15]
Gagnon, R., Morin, L., Bly, S., Butt, K., Cargill, Y.M., Denis, N., etal. (2009) Guidelines for the Management of Vasa Previa. InternationalJournalofGynecology&Obstetrics, 108, 85-89. https://doi.org/10.1016/j.ijgo.2009.09.011