Prenatally diagnosed vasa previa: association with adverse obstetrical and neonatal outcomes
| Autor: | Luciana Vieira, Jill M. Westcott, Fouad Atallah, Ashley S. Roman, Pe'er Dar, Stephen T. Chasen, Joanne Stone, Cara D. Dolin, Peter S. Bernstein, Georgios Doulaveris, Samantha Simpson |
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| Rok vydání: | 2020 |
| Předmět: |
Fetus
medicine.medical_specialty Neonatal intensive care unit urogenital system business.industry Obstetrics Vasa Previa Infant Newborn Gestational age Retrospective cohort study Gestational Age General Medicine Ultrasonography Prenatal Multiple Gestation Natural history Pregnancy Medicine Gestation Humans Female New York City business Retrospective Studies |
| Zdroj: | American journal of obstetricsgynecology MFM. 2(4) |
| ISSN: | 2589-9333 |
| Popis: | BACKGROUND Vasa previa represents a rare prenatal finding with potentially life-threatening risk to the fetus. OBJECTIVE This study aimed to describe the natural history of prenatally diagnosed vasa previa and evaluate the association between antenatally diagnosed vasa previa and adverse obstetrical and neonatal outcomes. STUDY DESIGN This was a multicenter descriptive and retrospective study of patients diagnosed prenatally with vasa previa on transvaginal ultrasound in the New York City Maternal-Fetal Medicine Research Consortium centers between 2012 and 2018. Outcomes evaluated included persistence of vasa previa at the time of delivery, gestational age at delivery, indications for unplanned unscheduled delivery, and neonatal course. RESULTS A total of 165 pregnancies with vasa previa were included, of which 16 were twin gestations. Forty-three cases (26.1%) were noted to resolve on subsequent ultrasound. Of the remaining 122 cases with persistent vasa previa, 46 (37.7%) required unscheduled delivery. Twin gestations were nearly 3 times as likely to require unscheduled delivery as singleton gestations (73.3% vs 25.2%; P |
| Databáze: | OpenAIRE |
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