“Vasa Previa: The critical importance of diagnosis” - with Dr. Andrei Rebarber

Dr. Nathan Fox discusses vasa previa with Dr. Andrei Rebarber, Maternal Fetal Specialist and a founding physician and President of Maternal Fetal Medicine Associates and Carnegie Imaging for Women. This serious pregnancy complication can cause risks to the fetus, though early diagnosis and careful monitoring with a scheduled C-section improve the odds of optimal outcomes.

[@sscc6853]

Hello, I am currently in my 4th pregnancy and am high risk in every pregnancy due to a short cervix length. I never needed or had a cervical cerclage, as I made it full term using vaginal progesterone for 3 pregnancies. At my routine 16 week vaginal ultrasound to take first cervical measurement, my OBGYN discovered a vessel covering my cervical OS. She determined that the rate was matching my heart rate versus fetal heart rate. But is unsure with her diagnosis. I have a scheduled 18 week appointment for a another vaginal ultrasound at a specialist to determine what is going on. I first would like to say, I've been trying to educate myself for the purpose of having an understanding of this possible new diagnosis, and your video, is the best explained, give me the details I need to help me understand. My questions are, considering I already have a short cervix, if diagnosed with this condition, does having a short cervix affect the Vasa previa? If so, and what ways? My last question is, you give the information on the outcomes if Vasa Previa is diagnosed, can be managed and possibly admitted at 32 weeks. My question is, isn't there a possibility of a spontaneous rupture of the vessel, still resulting in fetal death? I do not understand why they say there is a 99% success rate, if this condition is diagnosed, if there's a possibility that the mother can have a spontaneous rupture? If you are able to respond and answer these questions it would be much appreciated . Thank you

[@user-cx3vt8pd7x]

Добрый день! Моя дочь погибла 19.04.24 от Vasa previa. На УЗИ часть врачей определяла vasa previa, часть нет. В женской консультации решили не класть в стационар, а дождаться естественных родов и уже в роддоме принять решение. Итог: смерть моей малышки, Варвары. Если есть хоть маленький шанс предотвратить эту трагедию, матери-действуйте! Кричите и ругайтесь, топайте ногами, но добивайтесь кесарева сечения до начала родовой деятельности. Не повторяйте моих ошибок.