Vasa previa: Difference between revisions
(→Source) |
No edit summary |
||
| Line 3: | Line 3: | ||
**Seldom recognized prior to vessel disruption | **Seldom recognized prior to vessel disruption | ||
==Risk Factors== | ===Risk Factors=== | ||
*[[Placenta previa]] | |||
*IVF | |||
*Bilobed placenta | |||
==Diagnosis== | ==Diagnosis== | ||
| Line 12: | Line 12: | ||
**Fetal in origin (mother's life is not at risk) | **Fetal in origin (mother's life is not at risk) | ||
**May lead to fetal exsanguination | **May lead to fetal exsanguination | ||
==Differential Diagnosis== | |||
{{Abdominal Pain Pregnancy DDX}} | |||
==Treatment== | ==Treatment== | ||
C-section | C-section | ||
==See Also== | |||
*[[Pregnant vaginal bleeding]] | |||
==Source== | ==Source== | ||
Tintinalli | *Tintinalli | ||
==See Also== | ==See Also== | ||
Revision as of 06:23, 20 February 2015
Background
- Fetal blood vessels from the umbilical cord run in close proximity to cervical os
- Seldom recognized prior to vessel disruption
Risk Factors
- Placenta previa
- IVF
- Bilobed placenta
Diagnosis
- Painless bleeding occurs during SROM
- Fetal in origin (mother's life is not at risk)
- May lead to fetal exsanguination
Differential Diagnosis
Abdominal Pain in Pregnancy
The same abdominal pain differential as non-pregnant patients, plus:
<20 Weeks
- Ectopic pregnancy
- First trimester abortion
- Complete abortion
- Threatened abortion
- Inevitable abortion
- Incomplete abortion
- Missed abortion
- Septic abortion
- Round ligament stretching
- Incarcerated uterus
- Malposition of the uterus
>20 Weeks
- Labor/Preterm labor
- Placental abruption
- Placenta previa
- Vasa previa
- Uterine rupture
- Vaginal trauma
- HELLP syndrome
- Cholestasis of pregnancy
- Chorioamnionitis
- Incarcerated uterus
- Acute fatty liver of pregnancy
- Malposition of the uterus
- Placenta accreta
- Placenta increta
- Placenta percreta
Any time
- Hemorrhagic ovarian cyst
- Fibroid degeneration or torsion
- Ovarian torsion
- Constipation
Treatment
C-section
See Also
Source
- Tintinalli