Presentation of Vasa Previa is: Hemorrhage with fetal heart rate changes, progressing from tachycardia to bradycardia to a sinusoidal pattern.
Diagnosis: Do not waste time to diagnose the Vasa Previa! When you see the following criteria just run.
- the patient in labor you did the amniotomy
- the patient start bleeding
- Fetus has bradycardia
But you can still Diagnose Vasa Previa with transvaginal ultrasound in combination with Doppler. You will kill the baby if you waste time!
Attention: "APatient" test (APT test) distinguishes maternal from fetal blood.
Treatment: Treatment of Vasa Previa Immediate Cesarean Delivery.
Mortality risk of vasa previa is 75%.
Monday, September 17, 2007
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