Intrauterine death in vasa previa without hemorrhage: case reports

Abstract Antepartum and intrapartum hemorrhage from vasa previa (VP) is one of the main causes of intrauterine fetal death (IUFD). Here, we present two cases with type I VP in which velamentous cord insertion below the fetal head and overlying the cervix were reported by prenatal ultrasound scanning...

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Main Authors: Pin Li, Xiuyu Pan, Chaomin Yue, Zheng Zheng, Huishu Liu
Format: Article
Language:English
Published: BMC 2023-10-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-023-06019-0
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author Pin Li
Xiuyu Pan
Chaomin Yue
Zheng Zheng
Huishu Liu
author_facet Pin Li
Xiuyu Pan
Chaomin Yue
Zheng Zheng
Huishu Liu
author_sort Pin Li
collection DOAJ
description Abstract Antepartum and intrapartum hemorrhage from vasa previa (VP) is one of the main causes of intrauterine fetal death (IUFD). Here, we present two cases with type I VP in which velamentous cord insertion below the fetal head and overlying the cervix were reported by prenatal ultrasound scanning, and IUFD occoured after 35 weeks with no signs of prenatal bleeding but with engaged fetal head at presentation. We hypothesized that the IUFD may attributed to the compression of the unprotected umbilical vessels by the engaged fetal head. Thus we suggest that VP with a velamentous cord insertion should be considered for earlier termination of the pregnancy to avoid the risk of non-hemorrhagic adverse fetal outcomes.
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spelling doaj.art-05d6265e778e4e64a7895cbf657a0f292023-11-20T11:14:31ZengBMCBMC Pregnancy and Childbirth1471-23932023-10-012311510.1186/s12884-023-06019-0Intrauterine death in vasa previa without hemorrhage: case reportsPin Li0Xiuyu Pan1Chaomin Yue2Zheng Zheng3Huishu Liu4Department of Obstetrics, Guangzhou Women and Children’s Medical Center, Guangzhou Medical UniversityDepartment of Obstetrics, Guangzhou Women and Children’s Medical Center, Guangzhou Medical UniversityDepartment of Obstetrics, Guangzhou Women and Children’s Medical Center, Guangzhou Medical UniversityDepartment of Obstetrics, Guangzhou Women and Children’s Medical Center, Guangzhou Medical UniversityDepartment of Obstetrics, Guangzhou Women and Children’s Medical Center, Guangzhou Medical UniversityAbstract Antepartum and intrapartum hemorrhage from vasa previa (VP) is one of the main causes of intrauterine fetal death (IUFD). Here, we present two cases with type I VP in which velamentous cord insertion below the fetal head and overlying the cervix were reported by prenatal ultrasound scanning, and IUFD occoured after 35 weeks with no signs of prenatal bleeding but with engaged fetal head at presentation. We hypothesized that the IUFD may attributed to the compression of the unprotected umbilical vessels by the engaged fetal head. Thus we suggest that VP with a velamentous cord insertion should be considered for earlier termination of the pregnancy to avoid the risk of non-hemorrhagic adverse fetal outcomes.https://doi.org/10.1186/s12884-023-06019-0Vasa previaVelamentous cord insertionIntrauterine fetal deathAntepartum hemorrhage
spellingShingle Pin Li
Xiuyu Pan
Chaomin Yue
Zheng Zheng
Huishu Liu
Intrauterine death in vasa previa without hemorrhage: case reports
BMC Pregnancy and Childbirth
Vasa previa
Velamentous cord insertion
Intrauterine fetal death
Antepartum hemorrhage
title Intrauterine death in vasa previa without hemorrhage: case reports
title_full Intrauterine death in vasa previa without hemorrhage: case reports
title_fullStr Intrauterine death in vasa previa without hemorrhage: case reports
title_full_unstemmed Intrauterine death in vasa previa without hemorrhage: case reports
title_short Intrauterine death in vasa previa without hemorrhage: case reports
title_sort intrauterine death in vasa previa without hemorrhage case reports
topic Vasa previa
Velamentous cord insertion
Intrauterine fetal death
Antepartum hemorrhage
url https://doi.org/10.1186/s12884-023-06019-0
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AT zhengzheng intrauterinedeathinvasapreviawithouthemorrhagecasereports
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