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Vasa Praevia: a descriptive review of existing literature and the evolving role of ultrasound in prenatal screening
Author(s) -
Donnolley Natasha,
Halliday Lesley E,
Oyelese Yinka
Publication year - 2013
Publication title -
australasian journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
eISSN - 2205-0140
pISSN - 1836-6864
DOI - 10.1002/j.2205-0140.2013.tb00168.x
Subject(s) - medicine , context (archaeology) , obstetrics , ultrasound , fetus , pregnancy , radiology , paleontology , genetics , biology
: Literature addressing the feasibility of prenatal detection of vasa praevia during the mid‐trimester morphology ultrasound scan is scarce, as is a lack of consensus about the appropriate management of pregnancies once it is detected. Method : The following descriptive review will provide historical context about the clinical significance, epidemiology, diagnosis and outcomes of pregnancies complicated by vasa praevia. It will also examine the role of ultrasound in the diagnosis of vasa praevia, and will examine current evidence surrounding this debate of whether routine screening for vasa praevia is possible, beneficial, or cost‐effective. Conclusion : Finally, it will highlight the need for increased research into effective management of pregnancies at high risk of, or affected by vasa praevia to reduce fetal mortality and maternal and fetal morbidity associated with the condition.