Vasa Praevia Flashcards
1
Q
What is vasa praevia?
A
Unprotected foetal vessels close to the internal cervical OS
Putting them at risk of rupture when membranes rupture (prom time)
obstetric emergency
2
Q
What is the pathophysiology of vasa praevia?
A
Velamentous cord insertion (umbilical cord inserts into foetal membanes rather then placenta, then travels with the membranes to the placenta)
3
Q
Risk factors for vasa praevia?
A
Foetal anomaly (bilobed placenta)
History of low lying placenta
multiple pregnancy
4
Q
Classic triad in presentation?
A
Membrane rupture
+
PV bleeding following PAINLESS
+
Foetal bradycardia / foetal death
5
Q
Investigation for vasa praevia?
A
Doppler US
6
Q
Management plan for vasa praevia presenting at rupture
A
Emergency caesarean section
