Vasa Praevia Flashcards
1
Q
What is vasa praevia?
A
Unprotected foetal vessels transverse in the membranes below presenting part over intracranial cervical os
- Rupture during labour or at amniotomy
- Type 1 & Type 2
2
Q
RFs for vasa praevia?
A
Placental abnormalities: bilobed, succenturiate lobes
History of low lying placenta
Multiple pregnancy
IVF
3
Q
Diagnosis of VP?
A
US TA & TV Doppler
Clinical- sudden dark red bleeding and foetal bradycardia
4
Q
Management of VP?
A
Antenatal: steroids from 32 weeks, consider inpatient, deliver by elective C section before labour 34-36 weeks
APH from VP: Emergency C section
Placenta for histology
