Intrauterine death in vasa previa without hemorrhage: case reports

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 IUF...

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Autores principales: Li, Pin, Pan, Xiuyu, Yue, Chaomin, Zheng, Zheng, Liu, Huishu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10548614/
https://www.ncbi.nlm.nih.gov/pubmed/37789298
http://dx.doi.org/10.1186/s12884-023-06019-0
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author Li, Pin
Pan, Xiuyu
Yue, Chaomin
Zheng, Zheng
Liu, Huishu
author_facet Li, Pin
Pan, Xiuyu
Yue, Chaomin
Zheng, Zheng
Liu, Huishu
author_sort Li, Pin
collection PubMed
description 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.
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spelling pubmed-105486142023-10-05 Intrauterine death in vasa previa without hemorrhage: case reports Li, Pin Pan, Xiuyu Yue, Chaomin Zheng, Zheng Liu, Huishu BMC Pregnancy Childbirth Case Report 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. BioMed Central 2023-10-03 /pmc/articles/PMC10548614/ /pubmed/37789298 http://dx.doi.org/10.1186/s12884-023-06019-0 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Li, Pin
Pan, Xiuyu
Yue, Chaomin
Zheng, Zheng
Liu, Huishu
Intrauterine death in vasa previa without hemorrhage: case reports
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 Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10548614/
https://www.ncbi.nlm.nih.gov/pubmed/37789298
http://dx.doi.org/10.1186/s12884-023-06019-0
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AT zhengzheng intrauterinedeathinvasapreviawithouthemorrhagecasereports
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