Vasa previa

Question 1

Outline an antenatal management plan for a woman diagnosed with vasa previa at her 20 week anatomy scan

Answer 1

• Advise to avoid sexual intercourse, strenuous activity and digital cervical exams.
• Repeat TVUSS with colour doppler at 30-32 weeks.
• Elective admission from 30 weeks until delivery.
  
  • Alternative: outpatient if long closed cervix on serial TVUSS and fFN negative.
• Corticosteroids at 32 weeks.
• Elective CS between 34-36 weeks.