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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Format: | Article |
Language: | English |
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BMC
2023-10-01
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Series: | BMC Pregnancy and Childbirth |
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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. |
first_indexed | 2024-03-10T16:52:32Z |
format | Article |
id | doaj.art-05d6265e778e4e64a7895cbf657a0f29 |
institution | Directory Open Access Journal |
issn | 1471-2393 |
language | English |
last_indexed | 2024-03-10T16:52:32Z |
publishDate | 2023-10-01 |
publisher | BMC |
record_format | Article |
series | BMC Pregnancy and Childbirth |
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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