Vasapraevia
Vasapraevia
VASAPRAEVIA
DEFINITION
When a fetal blood vessel lies over the os in front of
the presenting part is called vasapraevia.
DIAGNOSIS
It may be diagnosed anenatally using
Ultrasound
Palpated on vaginal examination when membranes are
intact.
Speculum examination
SIGNS
When the membranes rupture, fetal vessels also rupture.
Fresh vaginal bleeding
Fetal distress
MANAGEMENT
Fetal heart rate should be monitored
If the mother is in the first stage of labour fetus is still
alive, emergency caesarean section is carried out.
In second stage delivery may be by vaginal delivery.
There is high fetal mortality with this ,so pediatrician
should be present for the birth.
If baby born alive resuscitation, haemoglobin
estimation and blood transfusion will be done.
