Vasa Previa: Prenatal Diagnosis and Outcomes: Thirty‐five Cases From a Single Maternal‐Fetal Medicine Practice
Objectives To assess the accuracy and effectiveness of routine screening for vasa previa, to describe our experience, and to assess factors that contribute to missed cases of vasa previa. Methods A retrospective descriptive study of all cases of vasa previa from a single maternal‐fetal medicine serv...
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| Veröffentlicht in: | Journal of ultrasound in medicine 2018-04, Vol.37 (4), p.1017-1024 |
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| container_title | Journal of ultrasound in medicine |
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| creator | Kulkarni, Ankita Powel, Jennifer Aziz, Michael Shah, Leena Lashley, Susan Benito, Carlos Oyelese, Yinka |
| description | Objectives
To assess the accuracy and effectiveness of routine screening for vasa previa, to describe our experience, and to assess factors that contribute to missed cases of vasa previa.
Methods
A retrospective descriptive study of all cases of vasa previa from a single maternal‐fetal medicine service between 2009 and 2017 was performed. Ultrasound findings and obstetric and neonatal outcomes were reviewed and analyzed.
Results
Thirty‐five cases of vasa previa were identified. Most cases (33 of 35 [94.3%]) were diagnosed antenatally. All 33 cases that followed our screening protocol were diagnosed antenatally and had favorable outcomes. Two cases that did not follow our protocol were not diagnosed antenatally and were delivered emergently. The mean gestational age ± SD at delivery of antenatally diagnosed cases was 34.9 ± 1.69 weeks. All neonates survived.
Conclusions
Routine ultrasound screening for vasa previa using American Institute of Ultrasound in Medicine criteria will almost universally lead to good outcomes and prevent perinatal mortality. |
| doi_str_mv | 10.1002/jum.14452 |
| format | Article |
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To assess the accuracy and effectiveness of routine screening for vasa previa, to describe our experience, and to assess factors that contribute to missed cases of vasa previa.
Methods
A retrospective descriptive study of all cases of vasa previa from a single maternal‐fetal medicine service between 2009 and 2017 was performed. Ultrasound findings and obstetric and neonatal outcomes were reviewed and analyzed.
Results
Thirty‐five cases of vasa previa were identified. Most cases (33 of 35 [94.3%]) were diagnosed antenatally. All 33 cases that followed our screening protocol were diagnosed antenatally and had favorable outcomes. Two cases that did not follow our protocol were not diagnosed antenatally and were delivered emergently. The mean gestational age ± SD at delivery of antenatally diagnosed cases was 34.9 ± 1.69 weeks. All neonates survived.
Conclusions
Routine ultrasound screening for vasa previa using American Institute of Ultrasound in Medicine criteria will almost universally lead to good outcomes and prevent perinatal mortality.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.1002/jum.14452</identifier><identifier>PMID: 29048133</identifier><language>eng</language><publisher>England</publisher><subject>Adult ; Female ; Humans ; New Jersey ; obstetrics ; placenta previa ; placental abnormality ; Pregnancy ; Pregnancy Outcome ; prenatal diagnosis ; Reproducibility of Results ; Retrospective Studies ; Ultrasonography, Prenatal - methods ; ultrasound ; vasa previa ; Vasa Previa - diagnostic imaging ; velamentous insertion</subject><ispartof>Journal of ultrasound in medicine, 2018-04, Vol.37 (4), p.1017-1024</ispartof><rights>2017 by the American Institute of Ultrasound in Medicine</rights><rights>2017 by the American Institute of Ultrasound in Medicine.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4262-e8d18d5d9e1e012bcc64ec0cdcd8e77ead111eb8f24ed8255381976ae8f020f93</citedby><cites>FETCH-LOGICAL-c4262-e8d18d5d9e1e012bcc64ec0cdcd8e77ead111eb8f24ed8255381976ae8f020f93</cites><orcidid>0000-0003-2638-2388 ; 0000-0003-1509-0152</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjum.14452$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjum.14452$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29048133$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kulkarni, Ankita</creatorcontrib><creatorcontrib>Powel, Jennifer</creatorcontrib><creatorcontrib>Aziz, Michael</creatorcontrib><creatorcontrib>Shah, Leena</creatorcontrib><creatorcontrib>Lashley, Susan</creatorcontrib><creatorcontrib>Benito, Carlos</creatorcontrib><creatorcontrib>Oyelese, Yinka</creatorcontrib><title>Vasa Previa: Prenatal Diagnosis and Outcomes: Thirty‐five Cases From a Single Maternal‐Fetal Medicine Practice</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>Objectives
To assess the accuracy and effectiveness of routine screening for vasa previa, to describe our experience, and to assess factors that contribute to missed cases of vasa previa.
Methods
A retrospective descriptive study of all cases of vasa previa from a single maternal‐fetal medicine service between 2009 and 2017 was performed. Ultrasound findings and obstetric and neonatal outcomes were reviewed and analyzed.
Results
Thirty‐five cases of vasa previa were identified. Most cases (33 of 35 [94.3%]) were diagnosed antenatally. All 33 cases that followed our screening protocol were diagnosed antenatally and had favorable outcomes. Two cases that did not follow our protocol were not diagnosed antenatally and were delivered emergently. The mean gestational age ± SD at delivery of antenatally diagnosed cases was 34.9 ± 1.69 weeks. All neonates survived.
Conclusions
Routine ultrasound screening for vasa previa using American Institute of Ultrasound in Medicine criteria will almost universally lead to good outcomes and prevent perinatal mortality.</description><subject>Adult</subject><subject>Female</subject><subject>Humans</subject><subject>New Jersey</subject><subject>obstetrics</subject><subject>placenta previa</subject><subject>placental abnormality</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>prenatal diagnosis</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Ultrasonography, Prenatal - methods</subject><subject>ultrasound</subject><subject>vasa previa</subject><subject>Vasa Previa - diagnostic imaging</subject><subject>velamentous insertion</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kLlOxDAURS0EgmEp-AHkEoqAn5NMHDo0MCxiBBJLG72xX8AoC9gJaDo-gW_kS_AwQEd1m6Mj3cPYNoh9EEIePPX1PiRJKpfYANJURPkQ4mU2EDJTUSLzbI2te_8UUAFZssrWZC4SBXE8YO4ePfJrR68WD-fbYIcVP7b40LTeeo6N4Vd9p9ua_CG_fbSum32-f5T2lfgIPXk-dm3Nkd_Y5qEiPsGOXINVYMY0V03IWG0bCnLUndW0yVZKrDxt_ewGuxuf3I7Oosur0_PR0WWkEzmUESkDyqQmJyABcqr1MCEttNFGUZYRGgCgqSplQkbJNI0V5NkQSZXhZ5nHG2x34X127UtPvitq6zVVFTbU9r6API1DmziGgO4tUO1a7x2VxbOzNbpZAaKYJy5C4uI7cWB3frT9tCbzR_42DcDBAnizFc3-NxUXd5OF8gvdi4gM</recordid><startdate>201804</startdate><enddate>201804</enddate><creator>Kulkarni, Ankita</creator><creator>Powel, Jennifer</creator><creator>Aziz, Michael</creator><creator>Shah, Leena</creator><creator>Lashley, Susan</creator><creator>Benito, Carlos</creator><creator>Oyelese, Yinka</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2638-2388</orcidid><orcidid>https://orcid.org/0000-0003-1509-0152</orcidid></search><sort><creationdate>201804</creationdate><title>Vasa Previa: Prenatal Diagnosis and Outcomes: Thirty‐five Cases From a Single Maternal‐Fetal Medicine Practice</title><author>Kulkarni, Ankita ; Powel, Jennifer ; Aziz, Michael ; Shah, Leena ; Lashley, Susan ; Benito, Carlos ; Oyelese, Yinka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4262-e8d18d5d9e1e012bcc64ec0cdcd8e77ead111eb8f24ed8255381976ae8f020f93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Female</topic><topic>Humans</topic><topic>New Jersey</topic><topic>obstetrics</topic><topic>placenta previa</topic><topic>placental abnormality</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>prenatal diagnosis</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Ultrasonography, Prenatal - methods</topic><topic>ultrasound</topic><topic>vasa previa</topic><topic>Vasa Previa - diagnostic imaging</topic><topic>velamentous insertion</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kulkarni, Ankita</creatorcontrib><creatorcontrib>Powel, Jennifer</creatorcontrib><creatorcontrib>Aziz, Michael</creatorcontrib><creatorcontrib>Shah, Leena</creatorcontrib><creatorcontrib>Lashley, Susan</creatorcontrib><creatorcontrib>Benito, Carlos</creatorcontrib><creatorcontrib>Oyelese, Yinka</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of ultrasound in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kulkarni, Ankita</au><au>Powel, Jennifer</au><au>Aziz, Michael</au><au>Shah, Leena</au><au>Lashley, Susan</au><au>Benito, Carlos</au><au>Oyelese, Yinka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vasa Previa: Prenatal Diagnosis and Outcomes: Thirty‐five Cases From a Single Maternal‐Fetal Medicine Practice</atitle><jtitle>Journal of ultrasound in medicine</jtitle><addtitle>J Ultrasound Med</addtitle><date>2018-04</date><risdate>2018</risdate><volume>37</volume><issue>4</issue><spage>1017</spage><epage>1024</epage><pages>1017-1024</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><abstract>Objectives
To assess the accuracy and effectiveness of routine screening for vasa previa, to describe our experience, and to assess factors that contribute to missed cases of vasa previa.
Methods
A retrospective descriptive study of all cases of vasa previa from a single maternal‐fetal medicine service between 2009 and 2017 was performed. Ultrasound findings and obstetric and neonatal outcomes were reviewed and analyzed.
Results
Thirty‐five cases of vasa previa were identified. Most cases (33 of 35 [94.3%]) were diagnosed antenatally. All 33 cases that followed our screening protocol were diagnosed antenatally and had favorable outcomes. Two cases that did not follow our protocol were not diagnosed antenatally and were delivered emergently. The mean gestational age ± SD at delivery of antenatally diagnosed cases was 34.9 ± 1.69 weeks. All neonates survived.
Conclusions
Routine ultrasound screening for vasa previa using American Institute of Ultrasound in Medicine criteria will almost universally lead to good outcomes and prevent perinatal mortality.</abstract><cop>England</cop><pmid>29048133</pmid><doi>10.1002/jum.14452</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-2638-2388</orcidid><orcidid>https://orcid.org/0000-0003-1509-0152</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0278-4297 |
| ispartof | Journal of ultrasound in medicine, 2018-04, Vol.37 (4), p.1017-1024 |
| issn | 0278-4297 1550-9613 |
| language | eng |
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| source | MEDLINE; Wiley Online Library |
| subjects | Adult Female Humans New Jersey obstetrics placenta previa placental abnormality Pregnancy Pregnancy Outcome prenatal diagnosis Reproducibility of Results Retrospective Studies Ultrasonography, Prenatal - methods ultrasound vasa previa Vasa Previa - diagnostic imaging velamentous insertion |
| title | Vasa Previa: Prenatal Diagnosis and Outcomes: Thirty‐five Cases From a Single Maternal‐Fetal Medicine Practice |
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