Vasa Previa: Prenatal Diagnosis and Outcomes: Thirty-five Cases From a Single Maternal-Fetal Medicine Practice

Ankita Kulkarni, Jennifer Powel, Michael Aziz, Leena Shah, Susan Lashley, Carlos Benito, Yinka Oyelese

Research output: Contribution to journalArticle

8 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)1017-1024
Number of pages8
JournalJournal of Ultrasound in Medicine
Volume37
Issue number4
DOIs
StatePublished - Apr 1 2018
Externally publishedYes

Fingerprint

Vasa Previa
Prenatal Diagnosis
Mothers
Medicine
Perinatal Mortality
Gestational Age
Obstetrics
Retrospective Studies

All Science Journal Classification (ASJC) codes

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

Cite this

Kulkarni, Ankita ; Powel, Jennifer ; Aziz, Michael ; Shah, Leena ; Lashley, Susan ; Benito, Carlos ; Oyelese, Yinka. / Vasa Previa : Prenatal Diagnosis and Outcomes: Thirty-five Cases From a Single Maternal-Fetal Medicine Practice. In: Journal of Ultrasound in Medicine. 2018 ; Vol. 37, No. 4. pp. 1017-1024.
@article{02312326e50e4bd984685a20212e8873,
title = "Vasa Previa: Prenatal Diagnosis and Outcomes: Thirty-five Cases From a Single Maternal-Fetal Medicine Practice",
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.",
author = "Ankita Kulkarni and Jennifer Powel and Michael Aziz and Leena Shah and Susan Lashley and Carlos Benito and Yinka Oyelese",
year = "2018",
month = "4",
day = "1",
doi = "10.1002/jum.14452",
language = "English (US)",
volume = "37",
pages = "1017--1024",
journal = "Journal of Ultrasound in Medicine",
issn = "0278-4297",
publisher = "American Institute of Ultrasound in Medicine",
number = "4",

}

Vasa Previa : Prenatal Diagnosis and Outcomes: Thirty-five Cases From a Single Maternal-Fetal Medicine Practice. / Kulkarni, Ankita; Powel, Jennifer; Aziz, Michael; Shah, Leena; Lashley, Susan; Benito, Carlos; Oyelese, Yinka.

In: Journal of Ultrasound in Medicine, Vol. 37, No. 4, 01.04.2018, p. 1017-1024.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Vasa Previa

T2 - Prenatal Diagnosis and Outcomes: Thirty-five Cases From a Single Maternal-Fetal Medicine Practice

AU - Kulkarni, Ankita

AU - Powel, Jennifer

AU - Aziz, Michael

AU - Shah, Leena

AU - Lashley, Susan

AU - Benito, Carlos

AU - Oyelese, Yinka

PY - 2018/4/1

Y1 - 2018/4/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85050808446&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85050808446&partnerID=8YFLogxK

U2 - 10.1002/jum.14452

DO - 10.1002/jum.14452

M3 - Article

C2 - 29048133

AN - SCOPUS:85050808446

VL - 37

SP - 1017

EP - 1024

JO - Journal of Ultrasound in Medicine

JF - Journal of Ultrasound in Medicine

SN - 0278-4297

IS - 4

ER -