February 2018 Vol. 6 No.2

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Case Report

Velamentous Insertion of the Umbilical Cord and Vasa Previa in Full Term Pregnancy

Ioannis K. Thanasas

Department of Obstetrics – Gynecology of General Hospital in Trikala, Trikala Greece

E-mail: thanasasg@hotmail.com
Tel.: 2431029103 / 6944766469

Accepted February 19, 2018

Abstract

Disclosure of incident on our successful outcome childbirth in term pregnancy velamentous insertion of the umbilical cord – vasa previa. Pregnant firstborn with free individuals and obstetrical history covering the 39th week of pregnancy is introduced in Maternity Clinic of our with symptomatology of automatic start birth. Sudden and to thoroughly grade vaginal hemorrhage found immediately after technical rupture of fetal membranes accompanied by decelerations of the fetal heartbeat raised the possible diagnosis of velamentous insertion of the umbilical cord – vasa previa and the interest undergone emergency cesarean section. After removal of the fetus and placenta was there synovial adherence cord. The caesarean section was performed smoothly with physiological loss blood. There was no need for blood transfusion in neonates, as well as it did not take neonatal support. Following a smooth postoperative course left together with the postpartum at fifth day of hospitalization. At this paper on the basis of current data a brief literature review of rare disease entities this respect mainly the diagnosis, treatment and prognosis.

Keywords: Velamentous insertion of the umbilical cord – vasa previa, diagnosis, management, prognosis.