ABSTRACT
Patients with multiple gestations, low-lying placentas, velamentous cord insertions,
and history of assisted conception should be evaluated carefully for a vasa previa.
Serial surveillance for signs of preterm labor and elective cesarean delivery at 34
to 35 weeks after corticosteroids for fetal lung maturity is a reasonable management
strategy for vasa previa in multiple gestations.
KEYWORDS
Vasa previa - multiple gestations - twins - abnormal placentation
REFERENCES
- 1
Oyelese Y, Catanzarite V, Perfumo F et al..
Vasa previa: the impact of prenatal diagnosis on outcomes.
Obstet Gynecol.
2004;
103
937-942
- 2 Martin J A, Hamilton B E, Sutton P D, Ventura S J, Menacher F, Kirmeyer S. Births:
Final Data on for 2004. National Vital Statistics Report from the CDC 2005 55(1)
- 3 Blickstein I, Keith L. Multiple Pregnancy: Epidemiology, Gestation, and Perinatal
Outcome. 2nd ed. London, UK; Taylor & Francis 2005: 5
- 4
Reddy U, Wapner R, Rebar R, Tasca R.
Infertility, assisted reproductive technology, and adverse pregnancy outcomes.
Obstet Gynecol.
2007;
109
967-977
- 5
Timor-Tritsch I E, Monteagudo A.
Diagnosis of placenta previa by transvaginal sonography.
Ann Med.
1993;
25
279-283
Manisha GandhiM.D.
Mount Sinai School of Medicine, 5 East 98th Street, 2nd floor
New York, NY 10029
Email: manisha.gandhi@mssm.edu