| Is it time to actively look for vasa praevia? | |
| | |
MedLine Citation:
|
PMID: 22663308 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Vasa praevia can cause acute severe fetal haemorrhage prior to or during rupture of the membranes, contributing to perinatal morbidity and mortality. There are no large prospective studies relating to vasa praevia and there is no place for a randomised controlled trial as it would be ethically unjustifiable given the poor prognosis. There are no national guidelines for the management of vasa praevia. Identification of vasa praevia by the 3rd trimester of pregnancy warrants the offer of delivery by planned caesarean section to avoid the complications. This is essentially intuitive and logical rather than based on any randomised trials. A universal screening programme for vasa praevia is not currently supported by a robust evidence base; however, the role of prenatal diagnosis requires an informed debate, as high quality data may not be forthcoming, given the low evidence of the condition. Increasing awareness and understanding of the clinical situations can accumulate information, which identify and treat this tragic complication of childbirth. |
| | |
Authors:
|
A Nishtar; P L Wood |
Related Documents
:
|
564558 - Staphylococcal food poisoning from infected snoek. 22813368 - Peripartum cardiomyopathy. 21463428 - Successful recovery from delayed amniotic fluid embolism with prolonged cardiac resusci... 23288668 - Fetal tricuspid annular plane systolic excursion (f-tapse): evaluation of fetal right h... 18439508 - Laparoscopic cervical cerclage: a series in women with a history of second trimester mi... 16954378 - Cold shock domain family members yb-1 and msy4 share essential functions during murine ... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology Volume: 32 ISSN: 1364-6893 ISO Abbreviation: J Obstet Gynaecol Publication Date: 2012 Jul |
Date Detail:
|
Created Date: 2012-06-05 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8309140 Medline TA: J Obstet Gynaecol Country: England |
Other Details:
|
Languages: eng Pagination: 413-8 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics & Gynaecology, Northampton General Hospital , Northampton , UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Platelet-Rich Preparations to Improve Healing. Part I: Workable Options for Every Size Practice.
Next Document: A successful pregnancy in a Turner syndrome with oocyte donation.