Vasa Previa Treatment and diagnosis to avoid Stillbirth

RCOG Guidelines: Vasa Praevia Diagnosis and Management

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The purpose of this guideline is to describe the diagnostic modalities and review the evidence-based approach to the clinical management of pregnancies complicated by vasa praevia.

Video taken from the channel: DR FATH MRCOG

Intrauterine Fetal Demise

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In this HD video, Prof. Ajit Virkud, discusses diagnosis and management of intrauterine fetal death..
Induction of Labor Part I: https://youtu.be/zRhC5PSQfe8.
Induction of Labor Part II: https://youtu.be/TaP5WskLlAw.
Time Stamps:
01:21 Definition.
01:48 Types.
02:06 Causes.
04:18 Stillbirth.
05:28 Maceration.
06:14 Lithopedion.
07:32 Clinical features.
08:30 Diagnosis by x-ray abdomen.
09:50 Diagnosis by ultrasonography.
10:48 Complications.
11:24 Management counseling.
11:58 Induction of labor.
13:01 Role of Cesarean delivery.
13:38 Post delivery management.
14:51 Management in subsequent pregnancy.
15:30 Guidelines to prevent recurrence

Video taken from the channel: Ajit Virkud

RCOG Guideline The Prevention of Malaria in Pregnancy No. 54a

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The original and complete RCOG guideline can be found at the below link for your reference:
https://www.rcog.org.uk/.
https://www.rcog.org.uk/en/guidelines-research-services/guidelines/

Video taken from the channel: Dr. Abeer F.G.

RCOG Guideline, Vasa Praevia

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vasa previa

Video taken from the channel: World Class Obs and Gynae Lectures

RCOG Guideline The diagnosis and treatment of malaria in pregnancy No. 54b

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The original and complete RCOG guideline can be found at the below link for your reference:
https://www.rcog.org.uk/.
https://www.rcog.org.uk/en/guidelines-research-services/guidelines/

Video taken from the channel: Dr. Abeer F.G.

Vasa previa

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n this video the viewer will gain knowledge vasa previa which is an obstetrical emergency.

Video taken from the channel: Metro College of Nursing

How best to diagnose and treat the small for gestational age fetus

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Created by world-class clinical faculty, Learning in 10 (LIT) Reviews covers topics in the United States Medical Licensing Exam (USMLE) Step 2CK examination..
The collection of ten minutes lectures can be used by medical students to supplement their lecture materials. Each video undergoes a peer-review process to ensure accuracy of information..
To learn more about Learning in 10 (LIT), please visit at http:// www.learningin10.com

Video taken from the channel: Learning in 10

Vasa Previa Diagnosis and Treatment to Prevent Stillbirth Risk Factors and Causes of Vasa Previa. Normally, the blood vessels of the umbilical cord and the placenta are insulated Symptoms of Vasa Previa. Vasa previa does not always cause symptoms. When it does, the main symptom is the sudden.

In vasa previa, membranes that contain blood vessels connecting the umbilical cord and placenta lie across or near the opening of the cervix—the entrance to the birth canal. Pregnancy complications, such as vasa previa, are problems that occur only during pregnancy. They may affect the woman, the.

Overall, vasa praevia is associated with an increased risk of preterm birth. The associated complications of prematurity are in many cases the result of iatrogenic preterm birth in an effort to prevent stillbirth. Gestational age at delivery is the only other variable associated with perinatal outcomes in the management of vasa praevia. Vasa previa refers to unprotected fetal vessels running through the membranes over the cervix under the presenting part.

1 First described by Lobstein 2 in 1801, this condition is of great importance because rupture of these vessels may result in fetal death or severe perinatal morbidity. 1-10 Until the advent of antenatal diagnosis, vasa previa carried an extremely high rate of perinatal. Women were included if they were diagnosed with vasa previa during pregnancy orchildbirth, confirmed by clinical examination or placental pathology. The mainoutcome measures included stillbirth, neonatal death, cesarean delivery, andpreterm birth. RESULTS: Sixty-three women had a confirmed diagnosis of vasa previa.

Diagnosis and management of vasa previa. Vasa previa occurs when unprotected fetal blood vessels run through the amniotic membranes and traverse the cervix. Complications include fetal hemorrhage, exsanguination, or death. Diagnosis by ultrasound. Management: antenatal corticosteroids 28-32 weeks, considerations for preterm hospitalization at 30-34 weeks, and delivery at 34-37 weeks.

Vasa previa can occur even in cases without placental malposition and the precise diagnosis of vasa previa, and the course of the cord vessels contributes to a safe delivery. Vasa previa might be present if any of the following conditions exist: low-lying placenta (may be caused by previous miscarriages followed by curreting of the uterus (D&C) or uterine surgeries, which can cause scarring in the uterus), bilobed or succenturiate-lobed placentas, velamentous insertion of the cord, pregnancies resulting from in-vitro fertilization or multiple pregnancies. (5-6) Vasa previa bleeding is. Suspect vasa previa based on symptoms and (painless vaginal bleeding, rupture of membranes, fetal bradycardia) and/or findings during routine prenatal ultrasonography. Use transvaginal ultrasonography to confirm vasa previa and to distinguish it (fixed umbilical cord) from funic presentation (movable cord).

Vasa Previa. Test your knowledge. Uterine Fibroids.

Which of the following should be given to prevent the adverse effects of long-term gonadotropin-releasing hormone (GnRH) agonist use in the treatment of uterine fibroids? Danazol The diagnosis of stillbirth is clinical.

List of related literature:

Vasa previa is managed with immediate cesarean section if diagnosed during labor and with planned cesarean section if diagnosed antenatally.
from Conn’s Current Therapy 2019 by Rick D. Kellerman, David Rakel Elsevier Health Sciences, 2018
MANAGEMENT When diagnosed antenatally, vasa previa should be managed similarly to placenta previa.
from Obstetrics: Normal and Problem Pregnancies E-Book by Steven G. Gabbe, Jennifer R. Niebyl, et. al. Elsevier Health Sciences, 2016
Vasa previa is managed with immediate cesarean section if diagnosed during labor and with a planned cesarean section if diagnosed antenatally.
from Conn’s Current Therapy 2020, E-Book by Rick D. Kellerman, KUSM-W Medical Practice Association, David Rakel Elsevier Health Sciences, 2019
If vasa previa is diagnosed, the patient is usually placed on bed rest awaiting cesarean section.
from Fundamentals of Emergency Ultrasound by John P. McGahan, Michael A Schick, Lisa Mills Elsevier Health Sciences, 2019
To prevent massive maternal blood loss during a vaginal delivery, D & E is the procedure of choice for second-trimester fetal demise with placenta previa.
from Chestnut’s Obstetric Anesthesia E-Book by David H. Chestnut, Cynthia A Wong, et. al. Elsevier Health Sciences, 2019
(d) Vasa previa may be diagnosed by: [i] Vaginal examination [ii] Amnioscopy [iii] Palpation of a vessel pulsating synchronously with the FHR in the membranes in front of the fetus [iv] Cesarean delivery may be indicated if the health care provider believes the risk of hemorrhage to be great.
from Core Curriculum for Maternal-Newborn Nursing E-Book by AWHONN, Susan Mattson, Judy E. Smith Elsevier Health Sciences, 2010
Our management strategy once vasa previa has been diagnosed is performed by a maternal fetal medicine specialist and includes several steps.
from Bleeding During Pregnancy: A Comprehensive Guide by Eyal K. Sheiner Springer New York, 2011
Treatment of placenta previa depends on the gestational age and the extent of bleeding.
from Manual of High Risk Pregnancy and Delivery E-Book by Elizabeth S. Gilbert Elsevier Health Sciences, 2010
Lovset J. Preventive treatment of severe bleeding in placenta previa.
from Practical Guide to High Risk Pregnancy and Delivery E-Book by Fernando Arias, Amarnath G Bhide, et. al. Elsevier Health Sciences, 2012
If a previa is present, immediate cesarean section is indicated.
from Obstetrics and Gynecology at a Glance by Errol R. Norwitz, John O. Schorge Wiley, 2013